18D2000428 CLIA NUMBER - KROGER PHARMACY L-737

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Laboratory Demographics

CLIA Number: 18D2000428

Facility Name: KROGER PHARMACY L-737

Facility Address:
1060 CHINOE RD SUITE 190
LEXINGTON, KY
ZIP 40502
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Facility Phone Number: 859 335-2380

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649295346

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	18D2000428
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY L-737
Street	1060 CHINOE RD SUITE 190
City	LEXINGTON
State	KY
ZIP	40502
Phone	859 335-2380
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

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