03D2133152 CLIA NUMBER - WALMART PHARMACY 10-1549

Laboratory Demographics

CLIA Number: 03D2133152

Facility Name: WALMART PHARMACY 10-1549

Facility Address:
2020 N 75TH AVE
PHOENIX, AZ
ZIP 85035
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Facility Phone Number: (623) 849-4055

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1245257450

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	03D2133152
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-1549
Street	2020 N 75TH AVE
City	PHOENIX
State	AZ
ZIP	85035
Phone	(623) 849-4055

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