38D2228038 CLIA NUMBER - GORDON'S PHARMACY AND GIFTS

Laboratory Demographics

CLIA Number: 38D2228038

Facility Name: GORDON'S PHARMACY AND GIFTS

Facility Address:
314 S MAIN STREET
CANYONVILLE, OR
ZIP 97417
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Facility Phone Number: 541 839-4452

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831236991

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	38D2228038
LAB Type	Pharmacy
Facility Name	GORDON'S PHARMACY AND GIFTS
Street	314 S MAIN STREET
City	CANYONVILLE
State	OR
ZIP	97417
Phone	541 839-4452
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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