27D1031942 CLIA NUMBER - OSCO PHARMACY #4023

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Laboratory Demographics

CLIA Number: 27D1031942

Facility Name: OSCO PHARMACY #4023

Facility Address:
307 NORTH HARMON
GLENDIVE, MT
ZIP 59330
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Facility Phone Number: 406 365-5209

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346296266

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	27D1031942
LAB Type	Pharmacy
Facility Name	OSCO PHARMACY #4023
Street	307 NORTH HARMON
City	GLENDIVE
State	MT
ZIP	59330
Phone	406 365-5209
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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