05D2210241 CLIA NUMBER - REMEDY RX PHARMACY

Laboratory Demographics

CLIA Number: 05D2210241

Facility Name: REMEDY RX PHARMACY

Facility Address:
1420 EAST ROSEVILLE PRKWY SUITE 130
ROSEVILLE, CA
ZIP 95661
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Facility Phone Number: 916 740-1600

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497181523

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	05D2210241
LAB Type	Pharmacy
Facility Name	REMEDY RX PHARMACY
Street	1420 EAST ROSEVILLE PRKWY SUITE 130
City	ROSEVILLE
State	CA
ZIP	95661
Phone	916 740-1600
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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