26D2150518 CLIA NUMBER - WEBSTER PHARMACY

Laboratory Demographics

CLIA Number: 26D2150518

Facility Name: WEBSTER PHARMACY

Facility Address:
608 E LOCKWOOD AVE
WEBSTER GROVES, MO
ZIP 63119
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Facility Phone Number: 314 962-1065

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356796080

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	26D2150518
LAB Type	Pharmacy
Facility Name	WEBSTER PHARMACY
Street	608 E LOCKWOOD AVE
City	WEBSTER GROVES
State	MO
ZIP	63119
Phone	314 962-1065
CertificateType	4
CertificateEffectiveDate	6/26/2022
CertificateExpirationDate	6/25/2024
FacilityType	Waiver

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