03D2134951 CLIA NUMBER - WALMART PHARMACY 10-2554

Laboratory Demographics

CLIA Number: 03D2134951

Facility Name: WALMART PHARMACY 10-2554

Facility Address:
13055 W RANCHO SANTA FE BLVD
AVONDALE, AZ
ZIP 85392
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Facility Phone Number: (623) 935-4022

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1619994837

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	03D2134951
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-2554
Street	13055 W RANCHO SANTA FE BLVD
City	AVONDALE
State	AZ
ZIP	85392
Phone	(623) 935-4022

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