03D2120922 CLIA NUMBER - WAL-MART STORES EAST, LP

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Laboratory Demographics

CLIA Number: 03D2120922

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
7421 W THUNDERBIRD RD
PEORIA, AZ
ZIP 85381
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Facility Phone Number: (479) 258-7034

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1962807230

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	03D2120922
LAB Type	PHARMACY
Facility Name	WAL-MART STORES EAST, LP
Street	7421 W THUNDERBIRD RD
City	PEORIA
State	AZ
ZIP	85381
Phone	(479) 258-7034

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