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39D2266408 CLIA NUMBER - GLADWYNE PHARMACY

Laboratory Demographics

CLIA Number: 39D2266408

Facility Name: GLADWYNE PHARMACY

Facility Address:
352 RIGHTERS MILL ROAD
GLADWYNE, PA
ZIP 19035
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Facility Phone Number: 610 649-1100

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1467559054

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 39D2266408
LAB Type Pharmacy
Facility Name GLADWYNE PHARMACY
Street 352 RIGHTERS MILL ROAD
City GLADWYNE
State PA
ZIP 19035
Phone 610 649-1100
CertificateType 4
CertificateEffectiveDate 8/10/2022
CertificateExpirationDate 8/9/2024
FacilityType Waiver

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