03D2133114 CLIA NUMBER - WALMART PHARMACY 10-4490

Laboratory Demographics

CLIA Number: 03D2133114

Facility Name: WALMART PHARMACY 10-4490

Facility Address:
2565 E COMMERCE CENTER PLACE
TUCSON, AZ
ZIP 85706
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Facility Phone Number: (520) 837-0753

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1366825150

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	03D2133114
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-4490
Street	2565 E COMMERCE CENTER PLACE
City	TUCSON
State	AZ
ZIP	85706
Phone	(520) 837-0753

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