18D2151506 CLIA NUMBER - APOTHECARE PHARMACY

Laboratory Demographics

CLIA Number: 18D2151506

Facility Name: APOTHECARE PHARMACY

Facility Address:
1239 WOODLAND DRIVE SUITE 102
ELIZABETHTOWN, KY
ZIP 42701
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Facility Phone Number: 270 739-0303

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316960453

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	18D2151506
LAB Type	Pharmacy
Facility Name	APOTHECARE PHARMACY
Street	1239 WOODLAND DRIVE SUITE 102
City	ELIZABETHTOWN
State	KY
ZIP	42701
Phone	270 739-0303
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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