01D2094214 CLIA NUMBER - KROGER PHARMACY #260

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Laboratory Demographics

CLIA Number: 01D2094214

Facility Name: KROGER PHARMACY #260

Facility Address:
300 DEANS ROAD
AUBURN, AL
ZIP 36830
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Facility Phone Number: 334 821-1717

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144254988

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	01D2094214
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #260
Street	300 DEANS ROAD
City	AUBURN
State	AL
ZIP	36830
Phone	334 821-1717
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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