12D2193977 CLIA NUMBER - 5 MINUTE PHARMACY LLC

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Laboratory Demographics

CLIA Number: 12D2193977

Facility Name: 5 MINUTE PHARMACY LLC

Facility Address:
94-216 FARRINGTON HWY #B1-102
WAIPAHU, HI
ZIP 96797
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Facility Phone Number: 808 677-5550

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588988257

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	12D2193977
LAB Type	Pharmacy
Facility Name	5 MINUTE PHARMACY LLC
Street	94-216 FARRINGTON HWY #B1-102
City	WAIPAHU
State	HI
ZIP	96797
Phone	808 677-5550
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

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