45D2092328 CLIA NUMBER - KROGER PHARMACY #572

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Laboratory Demographics

CLIA Number: 45D2092328

Facility Name: KROGER PHARMACY #572

Facility Address:
3400 FM 407 E
BARTONVILLE, TX
ZIP 76226
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Facility Phone Number: 713 507-6276

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1437547700

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	45D2092328
LAB Type	Other - RETAIL PHARMACY
Facility Name	KROGER PHARMACY #572
Street	3400 FM 407 E
City	BARTONVILLE
State	TX
ZIP	76226
Phone	713 507-6276
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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