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35D2162230 CLIA NUMBER - THRIFTY WHITE PHARMACY #084

Laboratory Demographics

CLIA Number: 35D2162230

Facility Name: THRIFTY WHITE PHARMACY #084

Facility Address:
900 NE 43RD AVE
BISMARCK, ND
ZIP 58503
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Facility Phone Number: 701 258-3736

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1881162972

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 35D2162230
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #084
Street 900 NE 43RD AVE
City BISMARCK
State ND
ZIP 58503
Phone 701 258-3736
CertificateType 4
CertificateEffectiveDate 2/19/2023
CertificateExpirationDate 2/18/2025
FacilityType Waiver

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