13D1002737 CLIA NUMBER - SAV-ON PHARMACY #0159

Laboratory Demographics

CLIA Number: 13D1002737

Facility Name: SAV-ON PHARMACY #0159

Facility Address:
330 E BENTON ST
POCATELLO, ID
ZIP 83201
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Facility Phone Number: (208) 233-0651

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1669428173

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	13D1002737
LAB Type	PHARMACY
Facility Name	SAV-ON PHARMACY #0159
Street	330 E BENTON ST
City	POCATELLO
State	ID
ZIP	83201
Phone	(208) 233-0651

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This page was last updated on: 5/11/2023