03D2139714 CLIA NUMBER - WALMART PHARMACY 10-1598

Laboratory Demographics

CLIA Number: 03D2139714

Facility Name: WALMART PHARMACY 10-1598

Facility Address:
4617 E BELL RD
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: (602) 482-5511

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1427075639

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	03D2139714
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-1598
Street	4617 E BELL RD
City	PHOENIX
State	AZ
ZIP	85032
Phone	(602) 482-5511

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