03D2158519 CLIA NUMBER - WALMART PHARMACY 10-5031

Laboratory Demographics

CLIA Number: 03D2158519

Facility Name: WALMART PHARMACY 10-5031

Facility Address:
8280 N CORTARO RD
TUCSON, AZ
ZIP 85743
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Facility Phone Number: 520 744-6604

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487672341

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	03D2158519
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-5031
Street	8280 N CORTARO RD
City	TUCSON
State	AZ
ZIP	85743
Phone	520 744-6604
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024