31D2241429 CLIA NUMBER - BONHAMTOWN PHARMACY LLC

Laboratory Demographics

CLIA Number: 31D2241429

Facility Name: BONHAMTOWN PHARMACY LLC

Facility Address:
2853 WOODBRIDGE AVE STE 8
EDISON, NJ
ZIP 08837
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Facility Phone Number: 732 605-4307

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730787938

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	31D2241429
LAB Type	Pharmacy
Facility Name	BONHAMTOWN PHARMACY LLC
Street	2853 WOODBRIDGE AVE STE 8
City	EDISON
State	NJ
ZIP	08837
Phone	732 605-4307
CertificateType	4
CertificateEffectiveDate	10/28/2023
CertificateExpirationDate	10/27/2025
FacilityType	Waiver

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