18D1022474 CLIA NUMBER - MEIJER PHARMACY 161

Laboratory Demographics

CLIA Number: 18D1022474

Facility Name: MEIJER PHARMACY 161

Facility Address:
2155 PAUL JONES WAY SUITE 100
LEXINGTON, KY
ZIP 40509
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Facility Phone Number: 859 264-3033

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407042138

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	18D1022474
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY 161
Street	2155 PAUL JONES WAY SUITE 100
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 264-3033
CertificateType	4
CertificateEffectiveDate	2/18/2024
CertificateExpirationDate	2/17/2026
FacilityType	Waiver

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