45D1081269 CLIA NUMBER - KROGER PHARMACY 344

Laboratory Demographics

CLIA Number: 45D1081269

Facility Name: KROGER PHARMACY 344

Facility Address:
1920 W LEAGUE CITY PARKWAY
LEAGUE CITY, TX
ZIP 77573
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Facility Phone Number: 281 672-6089

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1770656290

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 45D1081269
LAB Type Pharmacy
Facility Name KROGER PHARMACY 344
Street 1920 W LEAGUE CITY PARKWAY
City LEAGUE CITY
State TX
ZIP 77573
Phone 281 672-6089
CertificateType 4
CertificateEffectiveDate 3/13/2024
CertificateExpirationDate 3/12/2026
FacilityType Waiver

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