51D1024361 CLIA NUMBER - FRUTH PHARMACY #13

Laboratory Demographics

CLIA Number: 51D1024361

Facility Name: FRUTH PHARMACY #13

Facility Address:
3504 WINFIELD ROAD
WINFIELD, WV
ZIP 25213
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Facility Phone Number: 304 586-3088

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164437000

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	51D1024361
LAB Type	Pharmacy
Facility Name	FRUTH PHARMACY #13
Street	3504 WINFIELD ROAD
City	WINFIELD
State	WV
ZIP	25213
Phone	304 586-3088
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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