14D0979621 CLIA NUMBER - OSCO DRUG #3491

Laboratory Demographics

CLIA Number: 14D0979621

Facility Name: OSCO DRUG #3491

Facility Address:
3004 KIRCHOFF RD
ROLLING MEADOWS, IL
ZIP 60008
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Facility Phone Number: 847 818-0095

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386690055

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	14D0979621
LAB Type	Pharmacy
Facility Name	OSCO DRUG #3491
Street	3004 KIRCHOFF RD
City	ROLLING MEADOWS
State	IL
ZIP	60008
Phone	847 818-0095
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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