28D2196696 CLIA NUMBER - NORTH PLATTE PHARMACY INC DBA U-SAVE PHARMACY

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Laboratory Demographics

CLIA Number: 28D2196696

Facility Name: NORTH PLATTE PHARMACY INC DBA U-SAVE PHARMACY

Facility Address:
211 WEST LEOTA STREET
NORTH PLATTE, NE
ZIP 69101
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Facility Phone Number: 308 532-0310

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497208755

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	28D2196696
LAB Type	Pharmacy
Facility Name	NORTH PLATTE PHARMACY INC DBA U-SAVE PHARMACY
Street	211 WEST LEOTA STREET
City	NORTH PLATTE
State	NE
ZIP	69101
Phone	308 532-0310
CertificateType	4
CertificateEffectiveDate	10/19/2022
CertificateExpirationDate	10/18/2024
FacilityType	Waiver

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