17D2200083 CLIA NUMBER - APOTHESHOPPE LLC

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Laboratory Demographics

CLIA Number: 17D2200083

Facility Name: APOTHESHOPPE LLC

Facility Address:
1401 N MAIN ST
HUTCHINSON, KS
ZIP 67501
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Facility Phone Number: 620 663-7681

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790381655

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	17D2200083
LAB Type	Pharmacy
Facility Name	APOTHESHOPPE LLC
Street	1401 N MAIN ST
City	HUTCHINSON
State	KS
ZIP	67501
Phone	620 663-7681
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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