50D1011519 CLIA NUMBER - BARTELL DRUGS EDMONDS #58

Laboratory Demographics

CLIA Number: 50D1011519

Facility Name: BARTELL DRUGS EDMONDS #58

Facility Address:
23028 100TH AVENUE WEST
EDMONDS, WA
ZIP 98020
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Facility Phone Number: 425 670-2860

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356459960

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	50D1011519
LAB Type	Pharmacy
Facility Name	BARTELL DRUGS EDMONDS #58
Street	23028 100TH AVENUE WEST
City	EDMONDS
State	WA
ZIP	98020
Phone	425 670-2860
CertificateType	4
CertificateEffectiveDate	4/14/2003
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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