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50D2186507 CLIA NUMBER - GIBBONS PHARMACY

Laboratory Demographics

CLIA Number: 50D2186507

Facility Name: GIBBONS PHARMACY

Facility Address:
117 S TOPPENISH AVE
TOPPENISH, WA
ZIP 98948
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Facility Phone Number: 509 865-2722

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1548275191

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 50D2186507
LAB Type Pharmacy
Facility Name GIBBONS PHARMACY
Street 117 S TOPPENISH AVE
City TOPPENISH
State WA
ZIP 98948
Phone 509 865-2722
CertificateType 4
CertificateEffectiveDate 6/17/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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