26D2251691 CLIA NUMBER - PARKLAND HEALTH MART PHARMACY

Laboratory Demographics

CLIA Number: 26D2251691

Facility Name: PARKLAND HEALTH MART PHARMACY

Facility Address:
137 FRONT ST
GREENVILLE, MO
ZIP 63944
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Facility Phone Number: 573 223-8062

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972109619

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	26D2251691
LAB Type	Pharmacy
Facility Name	PARKLAND HEALTH MART PHARMACY
Street	137 FRONT ST
City	GREENVILLE
State	MO
ZIP	63944
Phone	573 223-8062
CertificateType	4
CertificateEffectiveDate	2/4/2024
CertificateExpirationDate	2/3/2026
FacilityType	Waiver

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