03D1040481 CLIA NUMBER - OSCO DRUG #2988

Laboratory Demographics

CLIA Number: 03D1040481

Facility Name: OSCO DRUG #2988

Facility Address:
5085 N LA CANADA DR
TUCSON, AZ
ZIP 85704
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Facility Phone Number: 520 696-0346

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336186766

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	03D1040481
LAB Type	Pharmacy
Facility Name	OSCO DRUG #2988
Street	5085 N LA CANADA DR
City	TUCSON
State	AZ
ZIP	85704
Phone	520 696-0346
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