16D2172107 CLIA NUMBER - DENVER DRUG

Laboratory Demographics

CLIA Number: 16D2172107

Facility Name: DENVER DRUG

Facility Address:
340 S STATE ST
DENVER, IA
ZIP 50622
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Facility Phone Number: 319 984-5691

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124192539

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	16D2172107
LAB Type	Pharmacy
Facility Name	DENVER DRUG
Street	340 S STATE ST
City	DENVER
State	IA
ZIP	50622
Phone	319 984-5691
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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