18D1018964 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

CLIA Number: 18D1018964

Facility Name: KROGER PHARMACY

Facility Address:
1808 ALEXANDRIA DRIVE
LEXINGTON, KY
ZIP 40504
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Facility Phone Number: 859 277-0767

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1841224664

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	18D1018964
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY
Street	1808 ALEXANDRIA DRIVE
City	LEXINGTON
State	KY
ZIP	40504
Phone	859 277-0767
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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