18D1022521 CLIA NUMBER - MEIJER PHARMACY #164

Laboratory Demographics

CLIA Number: 18D1022521

Facility Name: MEIJER PHARMACY #164

Facility Address:
4100 TOWNE CENTER ROAD
LOUISVILLE, KY
ZIP 40241
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Facility Phone Number: 502 326-5233

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245426832

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	18D1022521
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #164
Street	4100 TOWNE CENTER ROAD
City	LOUISVILLE
State	KY
ZIP	40241
Phone	502 326-5233
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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