02D2082393 CLIA NUMBER - SAFEWAY PHARMACY #1820

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Laboratory Demographics

CLIA Number: 02D2082393

Facility Name: SAFEWAY PHARMACY #1820

Facility Address:
3033 VINTAGE BLVD
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 523-2060

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386673325

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	02D2082393
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1820
Street	3033 VINTAGE BLVD
City	JUNEAU
State	AK
ZIP	99801
Phone	907 523-2060
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024