17D2183959 CLIA NUMBER - OSWEGO DRUG STORE

Laboratory Demographics

CLIA Number: 17D2183959

Facility Name: OSWEGO DRUG STORE

Facility Address:
413 COMMERCIAL ST
OSWEGO, KS
ZIP 67356
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Facility Phone Number: 620 795-2233

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124130075

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	17D2183959
LAB Type	Pharmacy
Facility Name	OSWEGO DRUG STORE
Street	413 COMMERCIAL ST
City	OSWEGO
State	KS
ZIP	67356
Phone	620 795-2233
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

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