52D2205034 CLIA NUMBER - BROWNSTONE RX

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Laboratory Demographics

CLIA Number: 52D2205034

Facility Name: BROWNSTONE RX

Facility Address:
114 WEST BAYFIELD ST
WASHBURN, WI
ZIP 54891
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Facility Phone Number: 715 373-5588

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568522704

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	52D2205034
LAB Type	Pharmacy
Facility Name	BROWNSTONE RX
Street	114 WEST BAYFIELD ST
City	WASHBURN
State	WI
ZIP	54891
Phone	715 373-5588
CertificateType	4
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Waiver

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