26D2199298 CLIA NUMBER - TWIN CITY PHARMACY

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Laboratory Demographics

CLIA Number: 26D2199298

Facility Name: TWIN CITY PHARMACY

Facility Address:
106 N FIRST STREET
MARBLE HILL, MO
ZIP 63764
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Facility Phone Number: 573 238-4177

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568575033

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	26D2199298
LAB Type	Pharmacy
Facility Name	TWIN CITY PHARMACY
Street	106 N FIRST STREET
City	MARBLE HILL
State	MO
ZIP	63764
Phone	573 238-4177
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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