03D2133156 CLIA NUMBER - WALMART PHARMACY 10-3465

Laboratory Demographics

CLIA Number: 03D2133156

Facility Name: WALMART PHARMACY 10-3465

Facility Address:
5010 N 95TH AVE
GLENDALE, AZ
ZIP 85305
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Facility Phone Number: (623) 872-0563

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1972520195

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	03D2133156
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-3465
Street	5010 N 95TH AVE
City	GLENDALE
State	AZ
ZIP	85305
Phone	(623) 872-0563

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