33D2210387 CLIA NUMBER - JW PHARMACY LLC

Laboratory Demographics

CLIA Number: 33D2210387

Facility Name: JW PHARMACY LLC

Facility Address:
141-02 NORTHERN BLVD
FLUSHING, NY
ZIP 11354
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Facility Phone Number: 718 762-3784

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780693903

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 33D2210387
LAB Type Pharmacy
Facility Name JW PHARMACY LLC
Street 141-02 NORTHERN BLVD
City FLUSHING
State NY
ZIP 11354
Phone 718 762-3784
CertificateType 4
CertificateEffectiveDate 1/21/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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