18D2104308 CLIA NUMBER - KENTUCKY PHARMACY 1 LLC DBA SHELBYVILLE PHARMACY

Laboratory Demographics

CLIA Number: 18D2104308

Facility Name: KENTUCKY PHARMACY 1 LLC DBA SHELBYVILLE PHARMACY

Facility Address:
182 FRANKFORT ROAD
SHELBYVILLE, KY
ZIP 40065
Get Directions

Facility Phone Number: 502 437-3008

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710043393

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	18D2104308
LAB Type	Pharmacy
Facility Name	KENTUCKY PHARMACY 1 LLC DBA SHELBYVILLE PHARMACY
Street	182 FRANKFORT ROAD
City	SHELBYVILLE
State	KY
ZIP	40065
Phone	502 437-3008
CertificateType	4
CertificateEffectiveDate	11/2/2023
CertificateExpirationDate	11/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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