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43D2109893 CLIA NUMBER - SAFEWAY PHARMACY 1554

Laboratory Demographics

CLIA Number: 43D2109893

Facility Name: SAFEWAY PHARMACY 1554

Facility Address:
730 MOUNTAIN VIEW ROAD
RAPID CITY, SD
ZIP 57702
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Facility Phone Number: 605 342-8505

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1538198593

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 43D2109893
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1554
Street 730 MOUNTAIN VIEW ROAD
City RAPID CITY
State SD
ZIP 57702
Phone 605 342-8505
CertificateType 4
CertificateEffectiveDate 3/4/2024
CertificateExpirationDate 3/3/2026
FacilityType Waiver

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