31D2190417 CLIA NUMBER - TOTAL CARE PHARMACY

Laboratory Demographics

CLIA Number: 31D2190417

Facility Name: TOTAL CARE PHARMACY

Facility Address:
596 BROADWAY
BAYONNE, NJ
ZIP 07002
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Facility Phone Number: 201 577-6792

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700426954

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 31D2190417
LAB Type Pharmacy
Facility Name TOTAL CARE PHARMACY
Street 596 BROADWAY
City BAYONNE
State NJ
ZIP 07002
Phone 201 577-6792
CertificateType 4
CertificateEffectiveDate 8/13/2022
CertificateExpirationDate 8/12/2024
FacilityType Waiver

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