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38D2273730 CLIA NUMBER - SAFEWAY PHARMACY#1590

Laboratory Demographics

CLIA Number: 38D2273730

Facility Name: SAFEWAY PHARMACY#1590

Facility Address:
455 N COLUMBIA ST
MILTON FREEWATER, OR
ZIP 97862
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Facility Phone Number: 541 938-3289

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1851320899

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 38D2273730
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY#1590
Street 455 N COLUMBIA ST
City MILTON FREEWATER
State OR
ZIP 97862
Phone 541 938-3289
CertificateType 4
CertificateEffectiveDate 12/19/2022
CertificateExpirationDate 12/18/2024
FacilityType Waiver

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