03D2111590 CLIA NUMBER - Fry's Pharmacy #657

Laboratory Demographics

CLIA Number: 03D2111590

Facility Name: Fry's Pharmacy #657

Facility Address:
25401 N Lake Pleasant Parkway
Peoria, AZ
ZIP 85383
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Facility Phone Number: (623) 907-4932

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1942756812

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 03D2111590
LAB Type PHARMACY
Facility Name Fry's Pharmacy #657
Street 25401 N Lake Pleasant Parkway
City Peoria
State AZ
ZIP 85383
Phone (623) 907-4932

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This page was last updated on: 4/7/2021