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50D2187009 CLIA NUMBER - RITE AID PHARMACY #06462

Laboratory Demographics

CLIA Number: 50D2187009

Facility Name: RITE AID PHARMACY #06462

Facility Address:
27000 MILLER BAY RD NE
KINGSTON, WA
ZIP 98346
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Facility Phone Number: 360 297-5200

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699958728

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 50D2187009
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #06462
Street 27000 MILLER BAY RD NE
City KINGSTON
State WA
ZIP 98346
Phone 360 297-5200
CertificateType 4
CertificateEffectiveDate 6/24/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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