52D2114984 CLIA NUMBER - PICK N SAVE PHARMACY #6412

Laboratory Demographics

CLIA Number: 52D2114984

Facility Name: PICK N SAVE PHARMACY #6412

Facility Address:
828 FOX POINT PLAZA
NEENAH, WI
ZIP 54956
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Facility Phone Number: 920 772-1348

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1629227020

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	52D2114984
LAB Type	Pharmacy
Facility Name	PICK N SAVE PHARMACY #6412
Street	828 FOX POINT PLAZA
City	NEENAH
State	WI
ZIP	54956
Phone	920 772-1348
CertificateType	4
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Waiver

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