50D1034908 CLIA NUMBER - SAV-ON PHARMACY #2592

Laboratory Demographics

CLIA Number: 50D1034908

Facility Name: SAV-ON PHARMACY #2592

Facility Address:
2108 W MAIN ST
BATTLE GROUND, WA
ZIP 98604
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Facility Phone Number: 360 687-4092

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023064532

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	50D1034908
LAB Type	Pharmacy
Facility Name	SAV-ON PHARMACY #2592
Street	2108 W MAIN ST
City	BATTLE GROUND
State	WA
ZIP	98604
Phone	360 687-4092
CertificateType	4
CertificateEffectiveDate	12/15/2004
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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