37D2270566 CLIA NUMBER - REASOR'S PHARMACY #919

Laboratory Demographics

CLIA Number: 37D2270566

Facility Name: REASOR'S PHARMACY #919

Facility Address:
2429 E 15TH ST S
TULSA, OK
ZIP 74104
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Facility Phone Number: 918 748-8350

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962449629

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 37D2270566
LAB Type Pharmacy
Facility Name REASOR'S PHARMACY #919
Street 2429 E 15TH ST S
City TULSA
State OK
ZIP 74104
Phone 918 748-8350
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