03D2127446 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

CLIA Number: 03D2127446

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
6550 WEST HAPPY VALLEY RD
GLENDALE, AZ
ZIP 85310
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Facility Phone Number: (479) 258-7034

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1871774448

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	03D2127446
LAB Type	PHARMACY
Facility Name	WAL-MART STORES EAST, LP
Street	6550 WEST HAPPY VALLEY RD
City	GLENDALE
State	AZ
ZIP	85310
Phone	(479) 258-7034

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