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18D1107701 CLIA NUMBER - KROGER PHARMACY L-350

Laboratory Demographics

CLIA Number: 18D1107701

Facility Name: KROGER PHARMACY L-350

Facility Address:
5533 NEW CUT ROAD
LOUISVILLE, KY
ZIP 40214
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Facility Phone Number: 502 361-7238

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1477587293

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 18D1107701
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-350
Street 5533 NEW CUT ROAD
City LOUISVILLE
State KY
ZIP 40214
Phone 502 361-7238
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