18D2000729 CLIA NUMBER - KROGER PHARMACY L-363

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Laboratory Demographics

CLIA Number: 18D2000729

Facility Name: KROGER PHARMACY L-363

Facility Address:
844 SOUTH COLLEGE STREET
HARRODSBURG, KY
ZIP 40330
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Facility Phone Number: 859 734-0081

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568496388

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	18D2000729
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY L-363
Street	844 SOUTH COLLEGE STREET
City	HARRODSBURG
State	KY
ZIP	40330
Phone	859 734-0081
CertificateType	4
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Waiver

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