24D2054877 CLIA NUMBER - THRIFTY WHITE DRUG #748

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Laboratory Demographics

CLIA Number: 24D2054877

Facility Name: THRIFTY WHITE DRUG #748

Facility Address:
603 MINNESOTA AVENUE
WALKER, MN
ZIP 56484
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Facility Phone Number: 218 547-1016

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417047358

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	24D2054877
LAB Type	Pharmacy
Facility Name	THRIFTY WHITE DRUG #748
Street	603 MINNESOTA AVENUE
City	WALKER
State	MN
ZIP	56484
Phone	218 547-1016
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