18D2156330 CLIA NUMBER - WEST KNOX PHARMACY

Laboratory Demographics

CLIA Number: 18D2156330

Facility Name: WEST KNOX PHARMACY

Facility Address:
14161 NORTH US HIGHWAY 25 EAST
CORBIN, KY
ZIP 40701
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Facility Phone Number: 606 258-1111

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578937694

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	18D2156330
LAB Type	Pharmacy
Facility Name	WEST KNOX PHARMACY
Street	14161 NORTH US HIGHWAY 25 EAST
City	CORBIN
State	KY
ZIP	40701
Phone	606 258-1111
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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