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34D2235103 CLIA NUMBER - SENTRY DRUG CENTER #11

Laboratory Demographics

CLIA Number: 34D2235103

Facility Name: SENTRY DRUG CENTER #11

Facility Address:
2622 E MAIN STREET
LINCOLNTON, NC
ZIP 28092
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Facility Phone Number: 704 735-2551

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1518362011

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 34D2235103
LAB Type Pharmacy
Facility Name SENTRY DRUG CENTER #11
Street 2622 E MAIN STREET
City LINCOLNTON
State NC
ZIP 28092
Phone 704 735-2551
CertificateType 4
CertificateEffectiveDate 9/7/2023
CertificateExpirationDate 9/6/2025
FacilityType Waiver

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