23D2126659 CLIA NUMBER - MEIJER PHARMACY #294

Laboratory Demographics

CLIA Number: 23D2126659

Facility Name: MEIJER PHARMACY #294

Facility Address:
505 NORTH 26TH STREET
ESCANABA, MI
ZIP 49829
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Facility Phone Number: 906 233-1110

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740725514

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	23D2126659
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #294
Street	505 NORTH 26TH STREET
City	ESCANABA
State	MI
ZIP	49829
Phone	906 233-1110
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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