15D1033291 CLIA NUMBER - OSCO DRUG #1189

Laboratory Demographics

CLIA Number: 15D1033291

Facility Name: OSCO DRUG #1189

Facility Address:
747 INDIAN BOUNDARY RD
CHESTERTON, IN
ZIP 46304
Get Directions

Facility Phone Number: 219 926-8723

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396791828

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	15D1033291
LAB Type	Pharmacy
Facility Name	OSCO DRUG #1189
Street	747 INDIAN BOUNDARY RD
City	CHESTERTON
State	IN
ZIP	46304
Phone	219 926-8723
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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