31D2262560 CLIA NUMBER - LITTLE FERRY PHARMACY

Laboratory Demographics

CLIA Number: 31D2262560

Facility Name: LITTLE FERRY PHARMACY

Facility Address:
260 BERGEN TURNPIKE
LITTLE FERRY, NJ
ZIP 07643
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Facility Phone Number: 201 870-6500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891362372

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	31D2262560
LAB Type	Pharmacy
Facility Name	LITTLE FERRY PHARMACY
Street	260 BERGEN TURNPIKE
City	LITTLE FERRY
State	NJ
ZIP	07643
Phone	201 870-6500
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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