35D2139855 CLIA NUMBER - JMF, INC DBA THE MEDICINE SHOPPE

Laboratory Demographics

CLIA Number: 35D2139855

Facility Name: JMF, INC DBA THE MEDICINE SHOPPE

Facility Address:
703 1ST AVE S
JAMESTOWN, ND
ZIP 58401
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Facility Phone Number: 701 252-3002

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134110463

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 35D2139855
LAB Type Pharmacy
Facility Name JMF, INC DBA THE MEDICINE SHOPPE
Street 703 1ST AVE S
City JAMESTOWN
State ND
ZIP 58401
Phone 701 252-3002
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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