11D2098268 CLIA NUMBER - KROGER PHARMACY #460

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Laboratory Demographics

CLIA Number: 11D2098268

Facility Name: KROGER PHARMACY #460

Facility Address:
7 DIAMOND CAUSEWAY
SAVANNAH, GA
ZIP 31406
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Facility Phone Number: 912 353-4351

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265466072

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	11D2098268
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #460
Street	7 DIAMOND CAUSEWAY
City	SAVANNAH
State	GA
ZIP	31406
Phone	912 353-4351
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

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