37D2284627 CLIA NUMBER - HOMELAND PHARMACY #467

Laboratory Demographics

CLIA Number: 37D2284627

Facility Name: HOMELAND PHARMACY #467

Facility Address:
2501 SE WASHINGTON ST
BARTLESVILLE, OK
ZIP 74006
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Facility Phone Number: 918 355-2020

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053521849

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	37D2284627
LAB Type	Pharmacy
Facility Name	HOMELAND PHARMACY #467
Street	2501 SE WASHINGTON ST
City	BARTLESVILLE
State	OK
ZIP	74006
Phone	918 355-2020
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	Waiver

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