27D2283306 CLIA NUMBER - ONE HEALTH WILSON CLINIC AND PHARMACY

Laboratory Demographics

CLIA Number: 27D2283306

Facility Name: ONE HEALTH WILSON CLINIC AND PHARMACY

Facility Address:
10 W 4TH STREET, SUITE B
HARDIN, MT
ZIP 59034
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Facility Phone Number: 406 867-4141

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1265907299

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	27D2283306
LAB Type	Federally Qualified Health Center
Facility Name	ONE HEALTH WILSON CLINIC AND PHARMACY
Street	10 W 4TH STREET, SUITE B
City	HARDIN
State	MT
ZIP	59034
Phone	406 867-4141
CertificateType	3
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	PPMP

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