04D2182968 CLIA NUMBER - WILSON WIL-SAV PHARMACY

Laboratory Demographics

CLIA Number: 04D2182968

Facility Name: WILSON WIL-SAV PHARMACY

Facility Address:
5 ALLEN CHAPEL ROAD
BATESVILLE, AR
ZIP 72501
Get Directions

Facility Phone Number: 870 251-2432

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1275868234

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	04D2182968
LAB Type	Pharmacy
Facility Name	WILSON WIL-SAV PHARMACY
Street	5 ALLEN CHAPEL ROAD
City	BATESVILLE
State	AR
ZIP	72501
Phone	870 251-2432
CertificateType	4
CertificateEffectiveDate	4/28/2024
CertificateExpirationDate	4/27/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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