44D2135872 CLIA NUMBER - JASPER DRUGS LLC

Laboratory Demographics

CLIA Number: 44D2135872

Facility Name: JASPER DRUGS LLC

Facility Address:
17 COURTHOUSE SQUARE
JASPER, TN
ZIP 37347
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Facility Phone Number: 423 942-5636

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407829369

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	44D2135872
LAB Type	Pharmacy
Facility Name	JASPER DRUGS LLC
Street	17 COURTHOUSE SQUARE
City	JASPER
State	TN
ZIP	37347
Phone	423 942-5636
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

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