38D2233319 CLIA NUMBER - SEMPERTS REXALL DRUG STORE, INC

Laboratory Demographics

CLIA Number: 38D2233319

Facility Name: SEMPERTS REXALL DRUG STORE, INC

Facility Address:
735 SPRUCE ST
MYRTLE POINT, OR
ZIP 97458
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Facility Phone Number: 541 572-5010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962579540

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	38D2233319
LAB Type	Pharmacy
Facility Name	SEMPERTS REXALL DRUG STORE, INC
Street	735 SPRUCE ST
City	MYRTLE POINT
State	OR
ZIP	97458
Phone	541 572-5010
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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