13D1035403 CLIA NUMBER - SAV-ON PHARMACY #1602

Laboratory Demographics

CLIA Number: 13D1035403

Facility Name: SAV-ON PHARMACY #1602

Facility Address:
715 12TH AVE S
NAMPA, ID
ZIP 83651
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Facility Phone Number: 208 466-3592

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114973039

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	13D1035403
LAB Type	Pharmacy
Facility Name	SAV-ON PHARMACY #1602
Street	715 12TH AVE S
City	NAMPA
State	ID
ZIP	83651
Phone	208 466-3592
CertificateType	4
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Waiver

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