53D2181741 CLIA NUMBER - HOSPITAL PHARMACY WEST

Laboratory Demographics

CLIA Number: 53D2181741

Facility Name: HOSPITAL PHARMACY WEST

Facility Address:
1333 W 5TH STREET, STE 107
SHERIDAN, WY
ZIP 82801
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Facility Phone Number: 307 673-3188

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588892095

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	53D2181741
LAB Type	Pharmacy
Facility Name	HOSPITAL PHARMACY WEST
Street	1333 W 5TH STREET, STE 107
City	SHERIDAN
State	WY
ZIP	82801
Phone	307 673-3188
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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