14D1034256 CLIA NUMBER - OSCO DRUG #2346

Laboratory Demographics

CLIA Number: 14D1034256

Facility Name: OSCO DRUG #2346

Facility Address:
760 W ARMY TRAIL RD
CAROL STREAM, IL
ZIP 60188
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Facility Phone Number: 630 289-3777

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174579098

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 14D1034256
LAB Type Pharmacy
Facility Name OSCO DRUG #2346
Street 760 W ARMY TRAIL RD
City CAROL STREAM
State IL
ZIP 60188
Phone 630 289-3777
CertificateType 4
CertificateEffectiveDate 11/30/2022
CertificateExpirationDate 11/29/2024
FacilityType Waiver

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