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18D1107689 CLIA NUMBER - KROGER PHARMACY L-292

Laboratory Demographics

CLIA Number: 18D1107689

Facility Name: KROGER PHARMACY L-292

Facility Address:
7509 TERRY ROAD
LOUISVILLE, KY
ZIP 40258
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Facility Phone Number: 502 935-5531

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1891729638

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 18D1107689
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-292
Street 7509 TERRY ROAD
City LOUISVILLE
State KY
ZIP 40258
Phone 502 935-5531
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