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36D2186432 CLIA NUMBER - DISCOUNT DRUG MART #58

Laboratory Demographics

CLIA Number: 36D2186432

Facility Name: DISCOUNT DRUG MART #58

Facility Address:
1575 LYONS RD
CENTERVILLE, OH
ZIP 45458
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Facility Phone Number: 330 725-2340

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1114962123

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 36D2186432
LAB Type Pharmacy
Facility Name DISCOUNT DRUG MART #58
Street 1575 LYONS RD
City CENTERVILLE
State OH
ZIP 45458
Phone 330 725-2340
CertificateType 4
CertificateEffectiveDate 6/17/2022
CertificateExpirationDate 6/16/2024
FacilityType Waiver

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