36D0663394 CLIA NUMBER - MEDICINE AND MORE

Laboratory Demographics

CLIA Number: 36D0663394

Facility Name: MEDICINE AND MORE

Facility Address:
100 FORT JEFFERSON AVENUE
GREENVILLE, OH
ZIP 45331
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Facility Phone Number: 937 547-1642

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790768539

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 36D0663394
LAB Type Pharmacy
Facility Name MEDICINE AND MORE
Street 100 FORT JEFFERSON AVENUE
City GREENVILLE
State OH
ZIP 45331
Phone 937 547-1642
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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