49D2254513 CLIA NUMBER - CORNERSTONE PHARMACY

Laboratory Demographics

CLIA Number: 49D2254513

Facility Name: CORNERSTONE PHARMACY

Facility Address:
205 KILBOURNE AVENUE
APPALACHIA, VA
ZIP 24216
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Facility Phone Number: 276 565-3434

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992942841

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	49D2254513
LAB Type	Pharmacy
Facility Name	CORNERSTONE PHARMACY
Street	205 KILBOURNE AVENUE
City	APPALACHIA
State	VA
ZIP	24216
Phone	276 565-3434
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