26D2205955 CLIA NUMBER - BREWER DRUGS INC DBA BEAUTON DRUG

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Laboratory Demographics

CLIA Number: 26D2205955

Facility Name: BREWER DRUGS INC DBA BEAUTON DRUG

Facility Address:
124 N WASHINGTON ST
EAST PRAIRIE, MO
ZIP 63845
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Facility Phone Number: 573 649-3923

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891838959

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	26D2205955
LAB Type	Pharmacy
Facility Name	BREWER DRUGS INC DBA BEAUTON DRUG
Street	124 N WASHINGTON ST
City	EAST PRAIRIE
State	MO
ZIP	63845
Phone	573 649-3923
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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