23D2134840 CLIA NUMBER - CENTRAL PHARMACY - OWOSSO, LLC

Laboratory Demographics

CLIA Number: 23D2134840

Facility Name: CENTRAL PHARMACY - OWOSSO, LLC

Facility Address:
111 N WASHINGTON STREET
OWOSSO, MI
ZIP 48867
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Facility Phone Number: 989 725-1344

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518468776

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	23D2134840
LAB Type	Pharmacy
Facility Name	CENTRAL PHARMACY - OWOSSO, LLC
Street	111 N WASHINGTON STREET
City	OWOSSO
State	MI
ZIP	48867
Phone	989 725-1344
CertificateType	4
CertificateEffectiveDate	8/10/2023
CertificateExpirationDate	8/9/2025
FacilityType	Waiver

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