37D2270551 CLIA NUMBER - REASOR'S PHARMACY #913

Laboratory Demographics

CLIA Number: 37D2270551

Facility Name: REASOR'S PHARMACY #913

Facility Address:
11005 E 41ST ST
TULSA, OK
ZIP 74145
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Facility Phone Number: 918 610-3245

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053487710

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	37D2270551
LAB Type	Pharmacy
Facility Name	REASOR'S PHARMACY #913
Street	11005 E 41ST ST
City	TULSA
State	OK
ZIP	74145
Phone	918 610-3245
CertificateType	4
CertificateEffectiveDate	10/18/2022
CertificateExpirationDate	10/17/2024
FacilityType	Waiver

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