05D2217851 CLIA NUMBER - OLYMPUS PHARMACY INC

Laboratory Demographics

CLIA Number: 05D2217851

Facility Name: OLYMPUS PHARMACY INC

Facility Address:
14437 VENTURA BLVD
SHERMAN OAKS, CA
ZIP 91423
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Facility Phone Number: 888 670-9080

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730579756

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	05D2217851
LAB Type	Pharmacy
Facility Name	OLYMPUS PHARMACY INC
Street	14437 VENTURA BLVD
City	SHERMAN OAKS
State	CA
ZIP	91423
Phone	888 670-9080
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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