03D2126602 CLIA NUMBER - Walmart Pharmacy 10-1299

Laboratory Demographics

CLIA Number: 03D2126602

Facility Name: Walmart Pharmacy 10-1299

Facility Address:
2003 E Rodeo Dr
Cottonwood, AZ
ZIP 86326
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Facility Phone Number: (928) 634-0440

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1700803913

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 03D2126602
LAB Type PHARMACY
Facility Name Walmart Pharmacy 10-1299
Street 2003 E Rodeo Dr
City Cottonwood
State AZ
ZIP 86326
Phone (928) 634-0440

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This page was last updated on: 4/7/2021