49D2271012 CLIA NUMBER - CLARK'S PHARMACY OF SALTVILLE, INC

Laboratory Demographics

CLIA Number: 49D2271012

Facility Name: CLARK'S PHARMACY OF SALTVILLE, INC

Facility Address:
402 PALMER AVE, SUITE B
SALTVILLE, VA
ZIP 24370
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Facility Phone Number: 276 496-7211

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407889868

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	49D2271012
LAB Type	Pharmacy
Facility Name	CLARK'S PHARMACY OF SALTVILLE, INC
Street	402 PALMER AVE, SUITE B
City	SALTVILLE
State	VA
ZIP	24370
Phone	276 496-7211
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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