06D2237340 CLIA NUMBER - JB PHARMACY, INC

Laboratory Demographics

CLIA Number: 06D2237340

Facility Name: JB PHARMACY, INC

Facility Address:
915 W NORTHERN AVE
PUEBLO, CO
ZIP 81004
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Facility Phone Number: 719 545-1811

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942365002

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	06D2237340
LAB Type	Pharmacy
Facility Name	JB PHARMACY, INC
Street	915 W NORTHERN AVE
City	PUEBLO
State	CO
ZIP	81004
Phone	719 545-1811
CertificateType	4
CertificateEffectiveDate	9/23/2023
CertificateExpirationDate	9/22/2025
FacilityType	Waiver

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