13D2126015 CLIA NUMBER - RITE AID PHARMACY #5421

Laboratory Demographics

CLIA Number: 13D2126015

Facility Name: RITE AID PHARMACY #5421

Facility Address:
1810 W PULLMAN RD
MOSCOW, ID
ZIP 83843
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Facility Phone Number: (208) 882-3583

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1235248774

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	13D2126015
LAB Type	PHARMACY
Facility Name	RITE AID PHARMACY #5421
Street	1810 W PULLMAN RD
City	MOSCOW
State	ID
ZIP	83843
Phone	(208) 882-3583

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