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01D2159189 CLIA NUMBER - WALMART PHARMACY 10-4333

Laboratory Demographics

CLIA Number: 01D2159189

Facility Name: WALMART PHARMACY 10-4333

Facility Address:
10040 COUNTY ROAD 48
FAIRHOPE, AL
ZIP 36532
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Facility Phone Number: 251 990-9907

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1346441888

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 01D2159189
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4333
Street 10040 COUNTY ROAD 48
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-9907
CertificateType 4
CertificateEffectiveDate 12/13/2022
CertificateExpirationDate 12/12/2024
FacilityType Waiver

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