26D2190067 CLIA NUMBER - HY-VEE PHARMACY #3036 PRINCETON

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Laboratory Demographics

CLIA Number: 26D2190067

Facility Name: HY-VEE PHARMACY #3036 PRINCETON

Facility Address:
710 W MAIN STREET
PRINCETON, MO
ZIP 64673
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Facility Phone Number: 660 748-7730

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417983503

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	26D2190067
LAB Type	Pharmacy
Facility Name	HY-VEE PHARMACY #3036 PRINCETON
Street	710 W MAIN STREET
City	PRINCETON
State	MO
ZIP	64673
Phone	660 748-7730
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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