36D2018857 CLIA NUMBER - CHARITABLE PHARMACY OF CENTRAL OHIO, INC

Laboratory Demographics

CLIA Number: 36D2018857

Facility Name: CHARITABLE PHARMACY OF CENTRAL OHIO, INC

Facility Address:
200 EAST LIVINGSTON AVENUE
COLUMBUS, OH
ZIP 43215
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Facility Phone Number: 614 227-0301

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396060620

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 36D2018857
LAB Type Pharmacy
Facility Name CHARITABLE PHARMACY OF CENTRAL OHIO, INC
Street 200 EAST LIVINGSTON AVENUE
City COLUMBUS
State OH
ZIP 43215
Phone 614 227-0301
CertificateType 4
CertificateEffectiveDate 1/18/2023
CertificateExpirationDate 1/17/2025
FacilityType Waiver

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