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45D1094867 CLIA NUMBER - KROGER PHARMACY 743

Laboratory Demographics

CLIA Number: 45D1094867

Facility Name: KROGER PHARMACY 743

Facility Address:
151 N FRIENDSWOOD DR
FRIENDSWOOD, TX
ZIP 77546
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Facility Phone Number: 281 992-1710

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1215000732

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 45D1094867
LAB Type Pharmacy
Facility Name KROGER PHARMACY 743
Street 151 N FRIENDSWOOD DR
City FRIENDSWOOD
State TX
ZIP 77546
Phone 281 992-1710
CertificateType 4
CertificateEffectiveDate 1/28/2023
CertificateExpirationDate 1/27/2025
FacilityType Waiver

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