26D1069597 CLIA NUMBER - GERBES PHARMACY #118

Laboratory Demographics

CLIA Number: 26D1069597

Facility Name: GERBES PHARMACY #118

Facility Address:
2101 N SCHOTTHILL WOODS DRIVE
JEFFERSON CITY, MO
ZIP 65101
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Facility Phone Number: 573 659-3700

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295776631

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 26D1069597
LAB Type Pharmacy
Facility Name GERBES PHARMACY #118
Street 2101 N SCHOTTHILL WOODS DRIVE
City JEFFERSON CITY
State MO
ZIP 65101
Phone 573 659-3700
CertificateType 4
CertificateEffectiveDate 6/11/2023
CertificateExpirationDate 6/10/2025
FacilityType Waiver

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