24D2055043 CLIA NUMBER - THRIFTY WHITE PHARMACY #779

Home > CLIA Lookup > 24D2055043

Laboratory Demographics

CLIA Number: 24D2055043

Facility Name: THRIFTY WHITE PHARMACY #779

Facility Address:
112A MAIN STREET SOUTH
PIERZ, MN
ZIP 56364
Get Directions

Facility Phone Number: 320 468-2072

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922302447

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	24D2055043
LAB Type	Pharmacy
Facility Name	THRIFTY WHITE PHARMACY #779
Street	112A MAIN STREET SOUTH
City	PIERZ
State	MN
ZIP	56364
Phone	320 468-2072
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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