03D2042934 CLIA NUMBER - FRYS FOOD AND DRUG #618

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Laboratory Demographics

CLIA Number: 03D2042934

Facility Name: FRYS FOOD AND DRUG #618

Facility Address:
3246 EAST BELL RD
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 602 765-4633

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1669417671

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	03D2042934
LAB Type	Other - RETAIL PHARMACY
Facility Name	FRYS FOOD AND DRUG #618
Street	3246 EAST BELL RD
City	PHOENIX
State	AZ
ZIP	85032
Phone	602 765-4633
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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