16D2206147 CLIA NUMBER - CONSULTANT PHARMACIST INC DBA PENN DRUG CO

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Laboratory Demographics

CLIA Number: 16D2206147

Facility Name: CONSULTANT PHARMACIST INC DBA PENN DRUG CO

Facility Address:
714 ILLINOIS ST
SIDNEY, IA
ZIP 51652
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Facility Phone Number: 712 374-2513

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972643914

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	16D2206147
LAB Type	Pharmacy
Facility Name	CONSULTANT PHARMACIST INC DBA PENN DRUG CO
Street	714 ILLINOIS ST
City	SIDNEY
State	IA
ZIP	51652
Phone	712 374-2513
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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