28D1088088 CLIA NUMBER - SUTTON PHARMACY

Laboratory Demographics

CLIA Number: 28D1088088

Facility Name: SUTTON PHARMACY

Facility Address:
210 N SAUNDERS AVE
SUTTON, NE
ZIP 68979
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Facility Phone Number: 402 773-4300

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649467036

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	28D1088088
LAB Type	Pharmacy
Facility Name	SUTTON PHARMACY
Street	210 N SAUNDERS AVE
City	SUTTON
State	NE
ZIP	68979
Phone	402 773-4300
CertificateType	4
CertificateEffectiveDate	8/15/2022
CertificateExpirationDate	8/14/2024
FacilityType	Waiver

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