03D2101695 CLIA NUMBER - FRY'S FOOD AND DRUG #628

Laboratory Demographics

CLIA Number: 03D2101695

Facility Name: FRY'S FOOD AND DRUG #628

Facility Address:
3949 E CHANDLER BLVD
PHOENIX, AZ
ZIP 85048
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Facility Phone Number: (480) 706-7373

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1770525313

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	03D2101695
LAB Type	PHARMACY
Facility Name	FRY'S FOOD AND DRUG #628
Street	3949 E CHANDLER BLVD
City	PHOENIX
State	AZ
ZIP	85048
Phone	(480) 706-7373

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This page was last updated on: 5/11/2023