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18D1094006 CLIA NUMBER - KROGER PHARMACY L-760

Laboratory Demographics

CLIA Number: 18D1094006

Facility Name: KROGER PHARMACY L-760

Facility Address:
14889 N US 25E, SUITE 2A
CORBIN, KY
ZIP 40701
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Facility Phone Number: 606 528-7211

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1437183274

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 18D1094006
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-760
Street 14889 N US 25E, SUITE 2A
City CORBIN
State KY
ZIP 40701
Phone 606 528-7211
CertificateType 4
CertificateEffectiveDate 1/8/2023
CertificateExpirationDate 1/7/2025
FacilityType Waiver

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