24D2054838 CLIA NUMBER - THRIFTY WHITE #760

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Laboratory Demographics

CLIA Number: 24D2054838

Facility Name: THRIFTY WHITE #760

Facility Address:
760 PRENTICE STREET
GRANITE FALLS, MN
ZIP 56241
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Facility Phone Number: 320 564-2339

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952490567

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	24D2054838
LAB Type	Pharmacy
Facility Name	THRIFTY WHITE #760
Street	760 PRENTICE STREET
City	GRANITE FALLS
State	MN
ZIP	56241
Phone	320 564-2339
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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