37D2071143 CLIA NUMBER - HOMELAND PHARMACY #146

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Laboratory Demographics

CLIA Number: 37D2071143

Facility Name: HOMELAND PHARMACY #146

Facility Address:
1701 N MILT PHILLIPS
SEMINOLE, OK
ZIP 74868
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Facility Phone Number: 405 382-1467

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124143219

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	37D2071143
LAB Type	Pharmacy
Facility Name	HOMELAND PHARMACY #146
Street	1701 N MILT PHILLIPS
City	SEMINOLE
State	OK
ZIP	74868
Phone	405 382-1467
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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