50D2058464 CLIA NUMBER - SAFEWAY PHARMACY 1524

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Laboratory Demographics

CLIA Number: 50D2058464

Facility Name: SAFEWAY PHARMACY 1524

Facility Address:
1401 NE MCWILLIAMS RD
BREMERTON, WA
ZIP 98311
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Facility Phone Number: 360 373-7226

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740226356

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	50D2058464
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY 1524
Street	1401 NE MCWILLIAMS RD
City	BREMERTON
State	WA
ZIP	98311
Phone	360 373-7226
CertificateType	4
CertificateEffectiveDate	5/8/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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