14D1065073 CLIA NUMBER - OSCO DRUG #3374

Laboratory Demographics

CLIA Number: 14D1065073

Facility Name: OSCO DRUG #3374

Facility Address:
465 N SUGAR GROVE PKWY - STE A
SUGAR GROVE, IL
ZIP 60554
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Facility Phone Number: 630 466-3769

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225076318

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	14D1065073
LAB Type	Pharmacy
Facility Name	OSCO DRUG #3374
Street	465 N SUGAR GROVE PKWY - STE A
City	SUGAR GROVE
State	IL
ZIP	60554
Phone	630 466-3769
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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