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18D1107688 CLIA NUMBER - KROGER PHARMACY L-224

Laboratory Demographics

CLIA Number: 18D1107688

Facility Name: KROGER PHARMACY L-224

Facility Address:
2200 BROWNSBORO ROAD
LOUISVILLE, KY
ZIP 40206
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Facility Phone Number: 502 894-8759

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1609800440

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 18D1107688
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-224
Street 2200 BROWNSBORO ROAD
City LOUISVILLE
State KY
ZIP 40206
Phone 502 894-8759
CertificateType 4
CertificateEffectiveDate 11/12/2023
CertificateExpirationDate 11/11/2025
FacilityType Waiver

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