37D2175492 CLIA NUMBER - TIGER DRUG

Laboratory Demographics

CLIA Number: 37D2175492

Facility Name: TIGER DRUG

Facility Address:
825 S WALNUT ST
STILLWATER, OK
ZIP 74074
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Facility Phone Number: 405 372-7900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174608467

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	37D2175492
LAB Type	Pharmacy
Facility Name	TIGER DRUG
Street	825 S WALNUT ST
City	STILLWATER
State	OK
ZIP	74074
Phone	405 372-7900
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

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