18D2157379 CLIA NUMBER - CULL FAMILY PHARMACY

Laboratory Demographics

CLIA Number: 18D2157379

Facility Name: CULL FAMILY PHARMACY

Facility Address:
965 HWY 127 N
OWENTON, KY
ZIP 40359
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Facility Phone Number: 502 484-3046

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1609208396

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	18D2157379
LAB Type	Pharmacy
Facility Name	CULL FAMILY PHARMACY
Street	965 HWY 127 N
City	OWENTON
State	KY
ZIP	40359
Phone	502 484-3046
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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