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50D2186949 CLIA NUMBER - RITE AID PHARMACY #05283

Laboratory Demographics

CLIA Number: 50D2186949

Facility Name: RITE AID PHARMACY #05283

Facility Address:
3130 SIMPSON AVE
HOQUIAM, WA
ZIP 98550
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Facility Phone Number: 360 533-5531

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1205945516

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 50D2186949
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05283
Street 3130 SIMPSON AVE
City HOQUIAM
State WA
ZIP 98550
Phone 360 533-5531
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