39D2250739 CLIA NUMBER - GIANT PHARMACY #6074

Laboratory Demographics

CLIA Number: 39D2250739

Facility Name: GIANT PHARMACY #6074

Facility Address:
3015 W EMMAUS AVENUE
ALLENTOWN, PA
ZIP 18103
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Facility Phone Number: 610 791-9588

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578595583

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 39D2250739
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6074
Street 3015 W EMMAUS AVENUE
City ALLENTOWN
State PA
ZIP 18103
Phone 610 791-9588
CertificateType 4
CertificateEffectiveDate 1/28/2024
CertificateExpirationDate 1/27/2026
FacilityType Waiver

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