11D2098987 CLIA NUMBER - KROGER PHARMACY #645

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Laboratory Demographics

CLIA Number: 11D2098987

Facility Name: KROGER PHARMACY #645

Facility Address:
5720 OGEECHEE RD
SAVANNAH, GA
ZIP 31419
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Facility Phone Number: 912 235-3425

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265580880

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	11D2098987
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #645
Street	5720 OGEECHEE RD
City	SAVANNAH
State	GA
ZIP	31419
Phone	912 235-3425
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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