27D2136985 CLIA NUMBER - SYKES PHARMACY

Laboratory Demographics

CLIA Number: 27D2136985

Facility Name: SYKES PHARMACY

Facility Address:
202 2ND AVE W
KALISPELL, MT
ZIP 59901
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Facility Phone Number: 406 257-4806

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992884662

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	27D2136985
LAB Type	Pharmacy
Facility Name	SYKES PHARMACY
Street	202 2ND AVE W
City	KALISPELL
State	MT
ZIP	59901
Phone	406 257-4806
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

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