18D2186085 CLIA NUMBER - CLINIC PHARMACY

Laboratory Demographics

CLIA Number: 18D2186085

Facility Name: CLINIC PHARMACY

Facility Address:
1210 KY HWY 36 E, SUITE G 6
CYNTHIANA, KY
ZIP 41031
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Facility Phone Number: 859 234-2777

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578699971

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	18D2186085
LAB Type	Pharmacy
Facility Name	CLINIC PHARMACY
Street	1210 KY HWY 36 E, SUITE G 6
City	CYNTHIANA
State	KY
ZIP	41031
Phone	859 234-2777
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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