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51D1038308 CLIA NUMBER - KROGER PHARMACY 752

Laboratory Demographics

CLIA Number: 51D1038308

Facility Name: KROGER PHARMACY 752

Facility Address:
2007 E SEVENTH STREET
PARKERSBURG, WV
ZIP 26101
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Facility Phone Number: 304 428-4705

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1790700490

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 51D1038308
LAB Type Pharmacy
Facility Name KROGER PHARMACY 752
Street 2007 E SEVENTH STREET
City PARKERSBURG
State WV
ZIP 26101
Phone 304 428-4705
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

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