33D2294886 CLIA NUMBER - RITE AID NO 650

Laboratory Demographics

CLIA Number: 33D2294886

Facility Name: RITE AID NO 650

Facility Address:
419 DIVISION STREET
NORTH TONAWANDA, NY
ZIP 14120
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Facility Phone Number: 716 692-8722

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922117456

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	33D2294886
LAB Type	Pharmacy
Facility Name	RITE AID NO 650
Street	419 DIVISION STREET
City	NORTH TONAWANDA
State	NY
ZIP	14120
Phone	716 692-8722
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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