36D2040909 CLIA NUMBER - KROGER PHARMACY 014-934

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Laboratory Demographics

CLIA Number: 36D2040909

Facility Name: KROGER PHARMACY 014-934

Facility Address:
1450 SOUTH ERIE HIGHWAY
HAMILTON, OH
ZIP 45011
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Facility Phone Number: 513 868-5440

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1013941814

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	36D2040909
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY 014-934
Street	1450 SOUTH ERIE HIGHWAY
City	HAMILTON
State	OH
ZIP	45011
Phone	513 868-5440
CertificateType	4
CertificateEffectiveDate	5/11/2022
CertificateExpirationDate	5/10/2024
FacilityType	Waiver

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