52D2132880 CLIA NUMBER - PICK N SAVE PHARMACY #6892

Laboratory Demographics

CLIA Number: 52D2132880

Facility Name: PICK N SAVE PHARMACY #6892

Facility Address:
N95W18351 COUNTY LINE RD
MENOMONEE FALLS, WI
ZIP 53051
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Facility Phone Number: 262 253-4705

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851442842

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	52D2132880
LAB Type	Pharmacy
Facility Name	PICK N SAVE PHARMACY #6892
Street	N95W18351 COUNTY LINE RD
City	MENOMONEE FALLS
State	WI
ZIP	53051
Phone	262 253-4705
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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