26D2155246 CLIA NUMBER - PRICE CHOPPER PHARMACY #16

Laboratory Demographics

CLIA Number: 26D2155246

Facility Name: PRICE CHOPPER PHARMACY #16

Facility Address:
12220 S 71 HWY
GRANDVIEW, MO
ZIP 64030
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Facility Phone Number: 816 777-2448

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720347099

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	26D2155246
LAB Type	Pharmacy
Facility Name	PRICE CHOPPER PHARMACY #16
Street	12220 S 71 HWY
City	GRANDVIEW
State	MO
ZIP	64030
Phone	816 777-2448
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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