36D2094990 CLIA NUMBER - KROGER PHARMACY #016847

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Laboratory Demographics

CLIA Number: 36D2094990

Facility Name: KROGER PHARMACY #016847

Facility Address:
7345 STATE RT 3
WESTERVILLE, OH
ZIP 43082
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Facility Phone Number: 614 794-5550

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720012420

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	36D2094990
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #016847
Street	7345 STATE RT 3
City	WESTERVILLE
State	OH
ZIP	43082
Phone	614 794-5550
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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