03D2059697 CLIA NUMBER - FRY'S PHARMACY #668

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Laboratory Demographics

CLIA Number: 03D2059697

Facility Name: FRY'S PHARMACY #668

Facility Address:
985 E RIGGS RD
CHANDLER, AZ
ZIP 85249
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Facility Phone Number: 480 883-6533

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1639530900

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	03D2059697
LAB Type	Other - RETAIL PHARMACY
Facility Name	FRY'S PHARMACY #668
Street	985 E RIGGS RD
City	CHANDLER
State	AZ
ZIP	85249
Phone	480 883-6533
CertificateType	4
CertificateEffectiveDate	5/29/2023
CertificateExpirationDate	5/28/2025
FacilityType	Waiver

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