26D2224981 CLIA NUMBER - TIPTON PHARMACY

Laboratory Demographics

CLIA Number: 26D2224981

Facility Name: TIPTON PHARMACY

Facility Address:
310 US HIGHWAY 50 WEST
TIPTON, MO
ZIP 65081
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Facility Phone Number: 660 433-6336

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023620838

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	26D2224981
LAB Type	Pharmacy
Facility Name	TIPTON PHARMACY
Street	310 US HIGHWAY 50 WEST
City	TIPTON
State	MO
ZIP	65081
Phone	660 433-6336
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

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