36D1027345 CLIA NUMBER - KROGER PHARMACY #799

Laboratory Demographics

CLIA Number: 36D1027345

Facility Name: KROGER PHARMACY #799

Facility Address:
1008 WASHINGTON
BELPRE, OH
ZIP 45714
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Facility Phone Number: 740 423-7271

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962436667

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	36D1027345
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #799
Street	1008 WASHINGTON
City	BELPRE
State	OH
ZIP	45714
Phone	740 423-7271
CertificateType	4
CertificateEffectiveDate	6/28/2022
CertificateExpirationDate	6/27/2024
FacilityType	Waiver

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