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23D1078666 CLIA NUMBER - CENTRAL DRUG STORE

Laboratory Demographics

CLIA Number: 23D1078666

Facility Name: CENTRAL DRUG STORE

Facility Address:
301 BRIDGE STREET
CHARLEVOIX, MI
ZIP 49720
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Facility Phone Number: 231 547-2424

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1831289735

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 23D1078666
LAB Type Pharmacy
Facility Name CENTRAL DRUG STORE
Street 301 BRIDGE STREET
City CHARLEVOIX
State MI
ZIP 49720
Phone 231 547-2424
CertificateType 4
CertificateEffectiveDate 1/14/2024
CertificateExpirationDate 1/13/2026
FacilityType Waiver

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