03D1016520 CLIA NUMBER - FRYS FOOD & DRUG FRYS PHARMACY #54

Laboratory Demographics

CLIA Number: 03D1016520

Facility Name: FRYS FOOD & DRUG FRYS PHARMACY #54

Facility Address:
4842 E BELL ROAD
SCOTTSDALE, AZ
ZIP 85254
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Facility Phone Number: 602 867-4060

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033151618

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	03D1016520
LAB Type	Pharmacy
Facility Name	FRYS FOOD & DRUG FRYS PHARMACY #54
Street	4842 E BELL ROAD
City	SCOTTSDALE
State	AZ
ZIP	85254
Phone	602 867-4060
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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