39D2301098 CLIA NUMBER - DUSHORE PHARMACY

Laboratory Demographics

CLIA Number: 39D2301098

Facility Name: DUSHORE PHARMACY

Facility Address:
220 S GERMAN ST
DUSHORE, PA
ZIP 18614
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Facility Phone Number: 570 928-8010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790790392

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	39D2301098
LAB Type	Pharmacy
Facility Name	DUSHORE PHARMACY
Street	220 S GERMAN ST
City	DUSHORE
State	PA
ZIP	18614
Phone	570 928-8010
CertificateType	4
CertificateEffectiveDate	3/21/2024
CertificateExpirationDate	3/20/2026
FacilityType	Waiver

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