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15D2270483 CLIA NUMBER - WHITING COMMUNITY PHARMACY INC

Laboratory Demographics

CLIA Number: 15D2270483

Facility Name: WHITING COMMUNITY PHARMACY INC

Facility Address:
1236 119TH ST
WHITING, IN
ZIP 46394
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Facility Phone Number: 219 655-5529

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013688977

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 15D2270483
LAB Type Pharmacy
Facility Name WHITING COMMUNITY PHARMACY INC
Street 1236 119TH ST
City WHITING
State IN
ZIP 46394
Phone 219 655-5529
CertificateType 4
CertificateEffectiveDate 10/17/2022
CertificateExpirationDate 10/16/2024
FacilityType Waiver

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