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43D2155793 CLIA NUMBER - LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE

Laboratory Demographics

CLIA Number: 43D2155793

Facility Name: LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE

Facility Address:
600 NATIONAL STREET
BELLE FOURCHE, SD
ZIP 57717
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Facility Phone Number: 605 892-2666

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316013071

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 43D2155793
LAB Type Pharmacy
Facility Name LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE
Street 600 NATIONAL STREET
City BELLE FOURCHE
State SD
ZIP 57717
Phone 605 892-2666
CertificateType 4
CertificateEffectiveDate 10/4/2022
CertificateExpirationDate 10/3/2024
FacilityType Waiver

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