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50D2186940 CLIA NUMBER - RITE AID PHARMACY #05234

Laboratory Demographics

CLIA Number: 50D2186940

Facility Name: RITE AID PHARMACY #05234

Facility Address:
1517 COMMERCIAL AVE
ANACORTES, WA
ZIP 98221
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Facility Phone Number: 360 293-2119

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1740399054

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 50D2186940
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05234
Street 1517 COMMERCIAL AVE
City ANACORTES
State WA
ZIP 98221
Phone 360 293-2119
CertificateType 4
CertificateEffectiveDate 6/23/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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