18D2255224 CLIA NUMBER - TOTAL CARE PHARMACY 2

Laboratory Demographics

CLIA Number: 18D2255224

Facility Name: TOTAL CARE PHARMACY 2

Facility Address:
118 CLARK STREET
FLEMINGSBURG, KY
ZIP 41041
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Facility Phone Number: 606 845-3421

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1629099692

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	18D2255224
LAB Type	Pharmacy
Facility Name	TOTAL CARE PHARMACY 2
Street	118 CLARK STREET
City	FLEMINGSBURG
State	KY
ZIP	41041
Phone	606 845-3421
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