49D1078494 CLIA NUMBER - KROGER PHARMACY #511

Laboratory Demographics

CLIA Number: 49D1078494

Facility Name: KROGER PHARMACY #511

Facility Address:
901 NORTH LOMBARDY STREET
RICHMOND, VA
ZIP 23219
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Facility Phone Number: 804 213-3623

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235163015

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	49D1078494
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #511
Street	901 NORTH LOMBARDY STREET
City	RICHMOND
State	VA
ZIP	23219
Phone	804 213-3623
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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