49D2201243 CLIA NUMBER - RITE AID PHARMACY 11287

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Laboratory Demographics

CLIA Number: 49D2201243

Facility Name: RITE AID PHARMACY 11287

Facility Address:
421 WYTHE CREEK ROAD
POQUOSON, VA
ZIP 23662
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Facility Phone Number: 757 868-0297

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700985942

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	49D2201243
LAB Type	Pharmacy
Facility Name	RITE AID PHARMACY 11287
Street	421 WYTHE CREEK ROAD
City	POQUOSON
State	VA
ZIP	23662
Phone	757 868-0297
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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