39D2247932 CLIA NUMBER - THOMPSON PHARMACY

Laboratory Demographics

CLIA Number: 39D2247932

Facility Name: THOMPSON PHARMACY

Facility Address:
602 E CHESTNUT AVE
ALTOONA, PA
ZIP 16601
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Facility Phone Number: 814 944-6139

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184661589

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	39D2247932
LAB Type	Pharmacy
Facility Name	THOMPSON PHARMACY
Street	602 E CHESTNUT AVE
City	ALTOONA
State	PA
ZIP	16601
Phone	814 944-6139
CertificateType	4
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Waiver

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