28D2179487 CLIA NUMBER - U SAVE PHARMACY 4TH ST

Laboratory Demographics

CLIA Number: 28D2179487

Facility Name: U SAVE PHARMACY 4TH ST

Facility Address:
423 W 4TH STREET
GRAND ISLAND, NE
ZIP 68801
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Facility Phone Number: 308 384-7372

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780994566

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	28D2179487
LAB Type	Pharmacy
Facility Name	U SAVE PHARMACY 4TH ST
Street	423 W 4TH STREET
City	GRAND ISLAND
State	NE
ZIP	68801
Phone	308 384-7372
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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