23D2177513 CLIA NUMBER - MOORE FAMILY PHARMACY ALLEGAN

Laboratory Demographics

CLIA Number: 23D2177513

Facility Name: MOORE FAMILY PHARMACY ALLEGAN

Facility Address:
100 MONROE STREET SUITE B
ALLEGAN, MI
ZIP 49010
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Facility Phone Number: 269 673-6749

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699782284

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	23D2177513
LAB Type	Pharmacy
Facility Name	MOORE FAMILY PHARMACY ALLEGAN
Street	100 MONROE STREET SUITE B
City	ALLEGAN
State	MI
ZIP	49010
Phone	269 673-6749
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