Healther Providers Data Logo

04D2127850 CLIA NUMBER - WALMART PHARMACY 10-0169

Laboratory Demographics

CLIA Number: 04D2127850

Facility Name: WALMART PHARMACY 10-0169

Facility Address:
322 BROWNSVILLE LOOP
LONOKE, AR
ZIP 72086
Get Directions

Facility Phone Number: 501 676-3191

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1962429357

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 04D2127850
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0169
Street 322 BROWNSVILLE LOOP
City LONOKE
State AR
ZIP 72086
Phone 501 676-3191
CertificateType 4
CertificateEffectiveDate 3/20/2023
CertificateExpirationDate 3/19/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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