11D2204177 CLIA NUMBER - RHINE DRUG COMPANY

Laboratory Demographics

CLIA Number: 11D2204177

Facility Name: RHINE DRUG COMPANY

Facility Address:
119 1ST STREET
RHINE, GA
ZIP 31077
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Facility Phone Number: 229 385-5351

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619945912

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 11D2204177
LAB Type Pharmacy
Facility Name RHINE DRUG COMPANY
Street 119 1ST STREET
City RHINE
State GA
ZIP 31077
Phone 229 385-5351
CertificateType 4
CertificateEffectiveDate 12/8/2022
CertificateExpirationDate 12/7/2024
FacilityType Waiver

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