33D2187173 CLIA NUMBER - CONDO PHARMACY

Laboratory Demographics

CLIA Number: 33D2187173

Facility Name: CONDO PHARMACY

Facility Address:
28 MONTCALM AVE
PLATTSBURGH, NY
ZIP 12901
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Facility Phone Number: 518 563-3400

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811985161

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	33D2187173
LAB Type	Pharmacy
Facility Name	CONDO PHARMACY
Street	28 MONTCALM AVE
City	PLATTSBURGH
State	NY
ZIP	12901
Phone	518 563-3400
CertificateType	4
CertificateEffectiveDate	6/26/2020
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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