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17D2211859 CLIA NUMBER - AUBURN PHARMACY #168

Laboratory Demographics

CLIA Number: 17D2211859

Facility Name: AUBURN PHARMACY #168

Facility Address:
716 N 4TH STREET
BURLINGTON, KS
ZIP 66839
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Facility Phone Number: 620 364-3388

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1477668408

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 17D2211859
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #168
Street 716 N 4TH STREET
City BURLINGTON
State KS
ZIP 66839
Phone 620 364-3388
CertificateType 4
CertificateEffectiveDate 2/1/2023
CertificateExpirationDate 1/31/2025
FacilityType Waiver

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