36D2059814 CLIA NUMBER - KROGER PHARMACY #273

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Laboratory Demographics

CLIA Number: 36D2059814

Facility Name: KROGER PHARMACY #273

Facility Address:
60 WORTHINGTON MALL
WORTHINGTON, OH
ZIP 43085
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Facility Phone Number: 614 410-2007

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679755516

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	36D2059814
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #273
Street	60 WORTHINGTON MALL
City	WORTHINGTON
State	OH
ZIP	43085
Phone	614 410-2007
CertificateType	4
CertificateEffectiveDate	5/31/2023
CertificateExpirationDate	5/30/2025
FacilityType	Waiver

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