36D2001758 CLIA NUMBER - DISCOUNT DRUG MART #73

Home > CLIA Lookup > 36D2001758

Laboratory Demographics

CLIA Number: 36D2001758

Facility Name: DISCOUNT DRUG MART #73

Facility Address:
7617 DAYTON-SPRINGFIELD ROAD
ENON, OH
ZIP 45323
Get Directions

Facility Phone Number: 937 863-0045

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831272871

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	36D2001758
LAB Type	Pharmacy
Facility Name	DISCOUNT DRUG MART #73
Street	7617 DAYTON-SPRINGFIELD ROAD
City	ENON
State	OH
ZIP	45323
Phone	937 863-0045
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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