18D2000718 CLIA NUMBER - KROGER PHARMACY L-376

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Laboratory Demographics

CLIA Number: 18D2000718

Facility Name: KROGER PHARMACY L-376

Facility Address:
4501 OUTER LOOP
LOUISVILLE, KY
ZIP 40219
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Facility Phone Number: (502) 969-2836

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1386678100

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	18D2000718
LAB Type	PHARMACY
Facility Name	KROGER PHARMACY L-376
Street	4501 OUTER LOOP
City	LOUISVILLE
State	KY
ZIP	40219
Phone	(502) 969-2836

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This page was last updated on: 5/11/2023