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31D2130896 CLIA NUMBER - ACME PHARMACY # 1083

Laboratory Demographics

CLIA Number: 31D2130896

Facility Name: ACME PHARMACY # 1083

Facility Address:
125 18TH STREET
JERSEY CITY, NJ
ZIP 07310
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Facility Phone Number: 201 418-0585

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1386154813

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 31D2130896
LAB Type Pharmacy
Facility Name ACME PHARMACY # 1083
Street 125 18TH STREET
City JERSEY CITY
State NJ
ZIP 07310
Phone 201 418-0585
CertificateType 4
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType Waiver

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