31D2240582 CLIA NUMBER - NOSH PHARM PHARMACY AND HOLISTIC CARE

Laboratory Demographics

CLIA Number: 31D2240582

Facility Name: NOSH PHARM PHARMACY AND HOLISTIC CARE

Facility Address:
336 RYDERS LN
MILLTOWN, NJ
ZIP 08850
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Facility Phone Number: 732 812-0000

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689253239

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	31D2240582
LAB Type	Pharmacy
Facility Name	NOSH PHARM PHARMACY AND HOLISTIC CARE
Street	336 RYDERS LN
City	MILLTOWN
State	NJ
ZIP	08850
Phone	732 812-0000
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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