17D2211909 CLIA NUMBER - DOWNTOWN DRUG STORE, THE

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Laboratory Demographics

CLIA Number: 17D2211909

Facility Name: DOWNTOWN DRUG STORE, THE

Facility Address:
516 E 4TH STREET
TONGANOXIE, KS
ZIP 66086
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Facility Phone Number: 913 369-3800

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346476900

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	17D2211909
LAB Type	Pharmacy
Facility Name	DOWNTOWN DRUG STORE, THE
Street	516 E 4TH STREET
City	TONGANOXIE
State	KS
ZIP	66086
Phone	913 369-3800
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