03D2134948 CLIA NUMBER - WALMART PHARMACY 10-3845

Laboratory Demographics

CLIA Number: 03D2134948

Facility Name: WALMART PHARMACY 10-3845

Facility Address:
6645 W PEORIA AVE
GLENDALE, AZ
ZIP 85302
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Facility Phone Number: (623) 773-2954

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1598965154

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	03D2134948
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-3845
Street	6645 W PEORIA AVE
City	GLENDALE
State	AZ
ZIP	85302
Phone	(623) 773-2954

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