05D2166384 CLIA NUMBER - JCH PHARMACY HOLDINGS, INC DBA PUCCI'S PHARMACY

Laboratory Demographics

CLIA Number: 05D2166384

Facility Name: JCH PHARMACY HOLDINGS, INC DBA PUCCI'S PHARMACY

Facility Address:
3257 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 442-5891

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780687277

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	05D2166384
LAB Type	Pharmacy
Facility Name	JCH PHARMACY HOLDINGS, INC DBA PUCCI'S PHARMACY
Street	3257 FOLSOM BLVD
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 442-5891
CertificateType	4
CertificateEffectiveDate	5/16/2023
CertificateExpirationDate	5/15/2025
FacilityType	Waiver

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