03D2111580 CLIA NUMBER - FRY'S PHARMACY #083

Laboratory Demographics

CLIA Number: 03D2111580

Facility Name: FRY'S PHARMACY #083

Facility Address:
1795 W VALENCIA RD
TUCSON, AZ
ZIP 85746
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Facility Phone Number: 623 907-4932

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023464377

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	03D2111580
LAB Type	Pharmacy
Facility Name	FRY'S PHARMACY #083
Street	1795 W VALENCIA RD
City	TUCSON
State	AZ
ZIP	85746
Phone	623 907-4932
CertificateType	4
CertificateEffectiveDate	4/11/2024
CertificateExpirationDate	4/10/2026
FacilityType	Waiver

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