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50D0995914 CLIA NUMBER - BARTELL DRUG #06932

Laboratory Demographics

CLIA Number: 50D0995914

Facility Name: BARTELL DRUG #06932

Facility Address:
27055 PACIFIC HWY SOUTH
DES MOINES, WA
ZIP 98198
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Facility Phone Number: 717 214-8545

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1255441937

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 50D0995914
LAB Type Pharmacy
Facility Name BARTELL DRUG #06932
Street 27055 PACIFIC HWY SOUTH
City DES MOINES
State WA
ZIP 98198
Phone 717 214-8545
CertificateType 4
CertificateEffectiveDate 2/4/2002
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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