18D2243651 CLIA NUMBER - EXPRESS RX OF TAYLORSVILLE

Laboratory Demographics

CLIA Number: 18D2243651

Facility Name: EXPRESS RX OF TAYLORSVILLE

Facility Address:
847 TAYLORSVILLE RD
TAYLORSVILLE, KY
ZIP 40071
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Facility Phone Number: 502 477-2267

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346263324

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	18D2243651
LAB Type	Pharmacy
Facility Name	EXPRESS RX OF TAYLORSVILLE
Street	847 TAYLORSVILLE RD
City	TAYLORSVILLE
State	KY
ZIP	40071
Phone	502 477-2267
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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