31D2183381 CLIA NUMBER - HOBOKEN FAMILY PHARMACY

Laboratory Demographics

CLIA Number: 31D2183381

Facility Name: HOBOKEN FAMILY PHARMACY

Facility Address:
307 IST ST
HOBOKEN, NJ
ZIP 07030
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Facility Phone Number: 201 420-7777

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427382266

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	31D2183381
LAB Type	Pharmacy
Facility Name	HOBOKEN FAMILY PHARMACY
Street	307 IST ST
City	HOBOKEN
State	NJ
ZIP	07030
Phone	201 420-7777
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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