27D2009531 CLIA NUMBER - SMITH'S PHARMACY #172

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Laboratory Demographics

CLIA Number: 27D2009531

Facility Name: SMITH'S PHARMACY #172

Facility Address:
195 THIRD AVE NE
KALISPELL, MT
ZIP 59901
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Facility Phone Number: 406 257-1397

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508881129

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	27D2009531
LAB Type	Pharmacy
Facility Name	SMITH'S PHARMACY #172
Street	195 THIRD AVE NE
City	KALISPELL
State	MT
ZIP	59901
Phone	406 257-1397
CertificateType	4
CertificateEffectiveDate	7/7/2022
CertificateExpirationDate	7/6/2024
FacilityType	Waiver

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