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01D2159070 CLIA NUMBER - WALMART PHARMACY 10-329

Laboratory Demographics

CLIA Number: 01D2159070

Facility Name: WALMART PHARMACY 10-329

Facility Address:
5560 MCCLELLAN BLVD
ANNISTON, AL
ZIP 36206
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Facility Phone Number: 256 820-0994

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1083631386

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 01D2159070
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-329
Street 5560 MCCLELLAN BLVD
City ANNISTON
State AL
ZIP 36206
Phone 256 820-0994
CertificateType 4
CertificateEffectiveDate 12/12/2022
CertificateExpirationDate 12/11/2024
FacilityType Waiver

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