03D2117152 CLIA NUMBER - WAL-MART PHARMACY 10-5835

Laboratory Demographics

CLIA Number: 03D2117152

Facility Name: WAL-MART PHARMACY 10-5835

Facility Address:
34399 N CAVE CREEK RD
CAVE CREEK, AZ
ZIP 85331
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Facility Phone Number: (480) 296-7410

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1467749770

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	03D2117152
LAB Type	PHARMACY
Facility Name	WAL-MART PHARMACY 10-5835
Street	34399 N CAVE CREEK RD
City	CAVE CREEK
State	AZ
ZIP	85331
Phone	(480) 296-7410

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This page was last updated on: 5/11/2023