33D2246111 CLIA NUMBER - PHARMACY IN THE SQUARE

Laboratory Demographics

CLIA Number: 33D2246111

Facility Name: PHARMACY IN THE SQUARE

Facility Address:
940 UNION RD
WEST SENECA, NY
ZIP 14224
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Facility Phone Number: 716 671-5281

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134639677

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	33D2246111
LAB Type	Pharmacy
Facility Name	PHARMACY IN THE SQUARE
Street	940 UNION RD
City	WEST SENECA
State	NY
ZIP	14224
Phone	716 671-5281
CertificateType	4
CertificateEffectiveDate	12/21/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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