03D2111630 CLIA NUMBER - FRY'S PHARMACY #667

Laboratory Demographics

CLIA Number: 03D2111630

Facility Name: FRY'S PHARMACY #667

Facility Address:
13830 W CAMELBACK RD
LITCHFIELD PARK, AZ
ZIP 85340
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Facility Phone Number: (623) 907-4932

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1881055143

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	03D2111630
LAB Type	PHARMACY
Facility Name	FRY'S PHARMACY #667
Street	13830 W CAMELBACK RD
City	LITCHFIELD PARK
State	AZ
ZIP	85340
Phone	(623) 907-4932

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