14D1034311 CLIA NUMBER - OSCO DRUG #3331

Laboratory Demographics

CLIA Number: 14D1034311

Facility Name: OSCO DRUG #3331

Facility Address:
2038 PRAIRIE ST
SAINT CHARLES, IL
ZIP 60174
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Facility Phone Number: 630 377-1655

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1801834049

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	14D1034311
LAB Type	Pharmacy
Facility Name	OSCO DRUG #3331
Street	2038 PRAIRIE ST
City	SAINT CHARLES
State	IL
ZIP	60174
Phone	630 377-1655
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