33D2208397 CLIA NUMBER - AVENUE C PHARMACY

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Laboratory Demographics

CLIA Number: 33D2208397

Facility Name: AVENUE C PHARMACY

Facility Address:
178 AVENUE C
NEW YORK, NY
ZIP 10009
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Facility Phone Number: 121 228-0764

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427134964

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	33D2208397
LAB Type	Pharmacy
Facility Name	AVENUE C PHARMACY
Street	178 AVENUE C
City	NEW YORK
State	NY
ZIP	10009
Phone	121 228-0764
CertificateType	4
CertificateEffectiveDate	1/6/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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