04D2261822 CLIA NUMBER - PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS

Laboratory Demographics

CLIA Number: 04D2261822

Facility Name: PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS

Facility Address:
1109 W PARKER ROAD
JONESBORO, AR
ZIP 72404
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Facility Phone Number: 870 935-6400

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619991767

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	04D2261822
LAB Type	Pharmacy
Facility Name	PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS
Street	1109 W PARKER ROAD
City	JONESBORO
State	AR
ZIP	72404
Phone	870 935-6400
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

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