18D2095622 CLIA NUMBER - KROGER PHARMACY #784

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Laboratory Demographics

CLIA Number: 18D2095622

Facility Name: KROGER PHARMACY #784

Facility Address:
704 E EUCLID AVE
LEXINGTON, KY
ZIP 40502
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Facility Phone Number: 859 687-3270

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1477950285

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	18D2095622
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #784
Street	704 E EUCLID AVE
City	LEXINGTON
State	KY
ZIP	40502
Phone	859 687-3270
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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