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: 5/11/2023