18D2173425 CLIA NUMBER - WHEELER PHARMACY

Laboratory Demographics

CLIA Number: 18D2173425

Facility Name: WHEELER PHARMACY

Facility Address:
336 ROMONY ROAD
LEXINGTON, KY
ZIP 40502
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Facility Phone Number: 859 266-1131

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316972987

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	18D2173425
LAB Type	Pharmacy
Facility Name	WHEELER PHARMACY
Street	336 ROMONY ROAD
City	LEXINGTON
State	KY
ZIP	40502
Phone	859 266-1131
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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