22D2187396 CLIA NUMBER - STOP AND SHOP PHARMACY #22

Laboratory Demographics

CLIA Number: 22D2187396

Facility Name: STOP AND SHOP PHARMACY #22

Facility Address:
55 LONG POND DRIVE
SOUTH YARMOUTH, MA
ZIP 02664
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Facility Phone Number: 508 394-8909

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255363123

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	22D2187396
LAB Type	Pharmacy
Facility Name	STOP AND SHOP PHARMACY #22
Street	55 LONG POND DRIVE
City	SOUTH YARMOUTH
State	MA
ZIP	02664
Phone	508 394-8909
CertificateType	4
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	Waiver

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