04D2205350 CLIA NUMBER - BUERKLE DRUG MANAGEMENT

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Laboratory Demographics

CLIA Number: 04D2205350

Facility Name: BUERKLE DRUG MANAGEMENT

Facility Address:
202 S MAIN ST
STUTTGART, AR
ZIP 72160
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Facility Phone Number: 870 673-6561

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356485684

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	04D2205350
LAB Type	Pharmacy
Facility Name	BUERKLE DRUG MANAGEMENT
Street	202 S MAIN ST
City	STUTTGART
State	AR
ZIP	72160
Phone	870 673-6561
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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