33D2122963 CLIA NUMBER - KINNEY DRUGS 87

Laboratory Demographics

CLIA Number: 33D2122963

Facility Name: KINNEY DRUGS 87

Facility Address:
406 BUTTERNUT STREET
SYRACUSE, NY
ZIP 13208
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Facility Phone Number: 315 474-8851

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790892974

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	33D2122963
LAB Type	Pharmacy
Facility Name	KINNEY DRUGS 87
Street	406 BUTTERNUT STREET
City	SYRACUSE
State	NY
ZIP	13208
Phone	315 474-8851
CertificateType	4
CertificateEffectiveDate	12/9/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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