18D2255221 CLIA NUMBER - TOTAL CARE PHARMACY 1

Laboratory Demographics

CLIA Number: 18D2255221

Facility Name: TOTAL CARE PHARMACY 1

Facility Address:
209 SOUTH MAIN CROSS STREET
FLEMINGSBURG, KY
ZIP 41041
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Facility Phone Number: 606 845-2101

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376740845

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	18D2255221
LAB Type	Pharmacy
Facility Name	TOTAL CARE PHARMACY 1
Street	209 SOUTH MAIN CROSS STREET
City	FLEMINGSBURG
State	KY
ZIP	41041
Phone	606 845-2101
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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