15D0998993 CLIA NUMBER - MEIJER PHARMACY 139

Laboratory Demographics

CLIA Number: 15D0998993

Facility Name: MEIJER PHARMACY 139

Facility Address:
6260 W MCGALLIARD RD SR 332
MUNCIE, IN
ZIP 47304
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Facility Phone Number: 765 281-7810

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083984884

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	15D0998993
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY 139
Street	6260 W MCGALLIARD RD SR 332
City	MUNCIE
State	IN
ZIP	47304
Phone	765 281-7810
CertificateType	4
CertificateEffectiveDate	5/1/2024
CertificateExpirationDate	4/30/2026
FacilityType	Waiver

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