23D2084270 CLIA NUMBER - VG'S PHARMACY #1932

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Laboratory Demographics

CLIA Number: 23D2084270

Facility Name: VG'S PHARMACY #1932

Facility Address:
1341 NORTH M-52
OWOSSO, MI
ZIP 48867
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Facility Phone Number: 989 725-5141

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508001207

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	23D2084270
LAB Type	Pharmacy
Facility Name	VG'S PHARMACY #1932
Street	1341 NORTH M-52
City	OWOSSO
State	MI
ZIP	48867
Phone	989 725-5141
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

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