14D1034273 CLIA NUMBER - OSCO DRUG #4268

Laboratory Demographics

CLIA Number: 14D1034273

Facility Name: OSCO DRUG #4268

Facility Address:
217 E IRVING PARK RD
STREAMWOOD, IL
ZIP 60107
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Facility Phone Number: 630 837-2020

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922054691

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 14D1034273
LAB Type Pharmacy
Facility Name OSCO DRUG #4268
Street 217 E IRVING PARK RD
City STREAMWOOD
State IL
ZIP 60107
Phone 630 837-2020
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