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04D2154048 CLIA NUMBER - HARPS PHARMACY #179

Laboratory Demographics

CLIA Number: 04D2154048

Facility Name: HARPS PHARMACY #179

Facility Address:
310 WEST PRIDEMORE DRIVE
LINCOLN, AR
ZIP 72744
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Facility Phone Number: 479 824-3256

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1558897751

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 04D2154048
LAB Type Pharmacy
Facility Name HARPS PHARMACY #179
Street 310 WEST PRIDEMORE DRIVE
City LINCOLN
State AR
ZIP 72744
Phone 479 824-3256
CertificateType 4
CertificateEffectiveDate 9/5/2022
CertificateExpirationDate 9/4/2024
FacilityType Waiver

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