53D2239289 CLIA NUMBER - UINTA DRUG PHARMACY

Laboratory Demographics

CLIA Number: 53D2239289

Facility Name: UINTA DRUG PHARMACY

Facility Address:
2822 HWY 414, STE C
LYMAN, WY
ZIP 82937
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Facility Phone Number: 307 786-2222

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912462326

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	53D2239289
LAB Type	Pharmacy
Facility Name	UINTA DRUG PHARMACY
Street	2822 HWY 414, STE C
City	LYMAN
State	WY
ZIP	82937
Phone	307 786-2222
CertificateType	4
CertificateEffectiveDate	10/11/2023
CertificateExpirationDate	10/10/2025
FacilityType	Waiver

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