33D2195760 CLIA NUMBER - DELCO DRUGS AND SPECIALTY PHARMACY

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Laboratory Demographics

CLIA Number: 33D2195760

Facility Name: DELCO DRUGS AND SPECIALTY PHARMACY

Facility Address:
3822 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312
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Facility Phone Number: 718 984-6600

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902939416

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	33D2195760
LAB Type	Pharmacy
Facility Name	DELCO DRUGS AND SPECIALTY PHARMACY
Street	3822 RICHMOND AVE
City	STATEN ISLAND
State	NY
ZIP	10312
Phone	718 984-6600
CertificateType	4
CertificateEffectiveDate	10/13/2020
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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