37D2267387 CLIA NUMBER - RANDY'S PHARMACY

Laboratory Demographics

CLIA Number: 37D2267387

Facility Name: RANDY'S PHARMACY

Facility Address:
1310 MAIN STREET
WOODWARD, OK
ZIP 73801
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Facility Phone Number: 580 256-6600

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053031369

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	37D2267387
LAB Type	Pharmacy
Facility Name	RANDY'S PHARMACY
Street	1310 MAIN STREET
City	WOODWARD
State	OK
ZIP	73801
Phone	580 256-6600
CertificateType	4
CertificateEffectiveDate	8/24/2022
CertificateExpirationDate	8/23/2024
FacilityType	Waiver

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