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24D1067658 CLIA NUMBER - CUB PHARMACY #1635

Laboratory Demographics

CLIA Number: 24D1067658

Facility Name: CUB PHARMACY #1635

Facility Address:
1729 MARKET BOULEVARD
HASTINGS, MN
ZIP 55033
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Facility Phone Number: 651 438-2135

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811002959

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 24D1067658
LAB Type Pharmacy
Facility Name CUB PHARMACY #1635
Street 1729 MARKET BOULEVARD
City HASTINGS
State MN
ZIP 55033
Phone 651 438-2135
CertificateType 4
CertificateEffectiveDate 4/24/2023
CertificateExpirationDate 4/23/2025
FacilityType Waiver

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