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53D1045557 CLIA NUMBER - OSCO PHARMACY #0066

Laboratory Demographics

CLIA Number: 53D1045557

Facility Name: OSCO PHARMACY #0066

Facility Address:
5800 YELLOWSTON RD
CHEYENNE, WY
ZIP 82009
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Facility Phone Number: 307 637-8361

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1861676363

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 53D1045557
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0066
Street 5800 YELLOWSTON RD
City CHEYENNE
State WY
ZIP 82009
Phone 307 637-8361
CertificateType 4
CertificateEffectiveDate 9/16/2023
CertificateExpirationDate 9/15/2025
FacilityType Waiver

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