49D2074769 CLIA NUMBER - KROGER PHARMACY #519

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Laboratory Demographics

CLIA Number: 49D2074769

Facility Name: KROGER PHARMACY #519

Facility Address:
9000 STAPLES MILL ROAD ATTN PHARMACIST IN CHARGE
RICHMOND, VA
ZIP 23228
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Facility Phone Number: 804 977-9515

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417378902

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	49D2074769
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #519
Street	9000 STAPLES MILL ROAD ATTN PHARMACIST IN CHARGE
City	RICHMOND
State	VA
ZIP	23228
Phone	804 977-9515
CertificateType	4
CertificateEffectiveDate	3/17/2024
CertificateExpirationDate	3/16/2026
FacilityType	Waiver

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