44D2000939 CLIA NUMBER - KROGER PHARMACY L-897

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Laboratory Demographics

CLIA Number: 44D2000939

Facility Name: KROGER PHARMACY L-897

Facility Address:
845 NASHVILLE PK ATTN PHARMACY
GALLATIN, TN
ZIP 37066
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Facility Phone Number: 615 230-9990

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073547709

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	44D2000939
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY L-897
Street	845 NASHVILLE PK ATTN PHARMACY
City	GALLATIN
State	TN
ZIP	37066
Phone	615 230-9990
CertificateType	4
CertificateEffectiveDate	12/9/2023
CertificateExpirationDate	12/8/2025
FacilityType	Waiver

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