03D2138402 CLIA NUMBER - WALMART PHARMACY 10-3751

Laboratory Demographics

CLIA Number: 03D2138402

Facility Name: WALMART PHARMACY 10-3751

Facility Address:
1725 W HUNT HWY
SAN TAN VALLEY, AZ
ZIP 85143
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Facility Phone Number: (480) 677-2540

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1346307600

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	03D2138402
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-3751
Street	1725 W HUNT HWY
City	SAN TAN VALLEY
State	AZ
ZIP	85143
Phone	(480) 677-2540

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