36D2001750 CLIA NUMBER - DISCOUNT DRUG MART #64

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Laboratory Demographics

CLIA Number: 36D2001750

Facility Name: DISCOUNT DRUG MART #64

Facility Address:
5863 DARROW ROAD
HUDSON, OH
ZIP 44236
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Facility Phone Number: 330 342-5500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649215567

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	36D2001750
LAB Type	Pharmacy
Facility Name	DISCOUNT DRUG MART #64
Street	5863 DARROW ROAD
City	HUDSON
State	OH
ZIP	44236
Phone	330 342-5500
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

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