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45D1082381 CLIA NUMBER - KROGER PHARMACY 590

Laboratory Demographics

CLIA Number: 45D1082381

Facility Name: KROGER PHARMACY 590

Facility Address:
1004 S CROWLER ROAD
CROWLEY, TX
ZIP 76036
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Facility Phone Number: 817 297-0006

Facility Type: Industrial

Certificate Type: Waiver
NPI Number: 1033282561

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 45D1082381
LAB Type Industrial
Facility Name KROGER PHARMACY 590
Street 1004 S CROWLER ROAD
City CROWLEY
State TX
ZIP 76036
Phone 817 297-0006
CertificateType 4
CertificateEffectiveDate 4/8/2024
CertificateExpirationDate 4/7/2026
FacilityType Waiver

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