31D2211490 CLIA NUMBER - BRIGHT STREET PHARMACY

Laboratory Demographics

CLIA Number: 31D2211490

Facility Name: BRIGHT STREET PHARMACY

Facility Address:
75 BRIGHT ST
JERSEY CITY, NJ
ZIP 07302
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Facility Phone Number: 201 333-9900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376021188

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	31D2211490
LAB Type	Pharmacy
Facility Name	BRIGHT STREET PHARMACY
Street	75 BRIGHT ST
City	JERSEY CITY
State	NJ
ZIP	07302
Phone	201 333-9900
CertificateType	4
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Waiver

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