33D2186231 CLIA NUMBER - KINNEY DRUGS NO 30

Laboratory Demographics

CLIA Number: 33D2186231

Facility Name: KINNEY DRUGS NO 30

Facility Address:
905 COFFEEN ST
WATERTOWN, NY
ZIP 13601
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Facility Phone Number: 315 788-9366

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952418675

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	33D2186231
LAB Type	Pharmacy
Facility Name	KINNEY DRUGS NO 30
Street	905 COFFEEN ST
City	WATERTOWN
State	NY
ZIP	13601
Phone	315 788-9366
CertificateType	4
CertificateEffectiveDate	6/16/2020
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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