31D2257686 CLIA NUMBER - ACME PHARMACY #0780

Laboratory Demographics

CLIA Number: 31D2257686

Facility Name: ACME PHARMACY #0780

Facility Address:
2007 STATE ROUTE 35
WALL, NJ
ZIP 07719
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Facility Phone Number: 732 282-1634

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417324450

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	31D2257686
LAB Type	Pharmacy
Facility Name	ACME PHARMACY #0780
Street	2007 STATE ROUTE 35
City	WALL
State	NJ
ZIP	07719
Phone	732 282-1634
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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