03D2111633 CLIA NUMBER - FRY'S PHARMACY #686

Laboratory Demographics

CLIA Number: 03D2111633

Facility Name: FRY'S PHARMACY #686

Facility Address:
2724 S SIGNAL BUTTE RD
MESA, AZ
ZIP 85209
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Facility Phone Number: (623) 907-4932

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1578921821

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	03D2111633
LAB Type	PHARMACY
Facility Name	FRY'S PHARMACY #686
Street	2724 S SIGNAL BUTTE RD
City	MESA
State	AZ
ZIP	85209
Phone	(623) 907-4932

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