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02D2142547 CLIA NUMBER - WALMART PHARMACY 10-2071

Laboratory Demographics

CLIA Number: 02D2142547

Facility Name: WALMART PHARMACY 10-2071

Facility Address:
8900 OLD SEWARD HIGHWAY
ANCHORAGE, AK
ZIP 99515
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Facility Phone Number: 907 344-7300

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1427075738

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 02D2142547
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2071
Street 8900 OLD SEWARD HIGHWAY
City ANCHORAGE
State AK
ZIP 99515
Phone 907 344-7300
CertificateType 4
CertificateEffectiveDate 1/12/2024
CertificateExpirationDate 1/11/2026
FacilityType Waiver

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