31D2274641 CLIA NUMBER - ACME PHARMACY #1092

Laboratory Demographics

CLIA Number: 31D2274641

Facility Name: ACME PHARMACY #1092

Facility Address:
321 ROUTE 440
JERSEY CITY, NJ
ZIP 07305
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Facility Phone Number: 201 946-2535

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518334440

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	31D2274641
LAB Type	Pharmacy
Facility Name	ACME PHARMACY #1092
Street	321 ROUTE 440
City	JERSEY CITY
State	NJ
ZIP	07305
Phone	201 946-2535
CertificateType	4
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	Waiver

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