03D2134949 CLIA NUMBER - WALMART PHARMACY 10-4430

Laboratory Demographics

CLIA Number: 03D2134949

Facility Name: WALMART PHARMACY 10-4430

Facility Address:
41650 W MARICOPA CASA GRANDE HWY
MARICOPA, AZ
ZIP 85138
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Facility Phone Number: (520) 568-3302

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1255573903

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	03D2134949
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-4430
Street	41650 W MARICOPA CASA GRANDE HWY
City	MARICOPA
State	AZ
ZIP	85138
Phone	(520) 568-3302

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