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08D2139726 CLIA NUMBER - WALMART PHARMACY # 10-2419

Laboratory Demographics

CLIA Number: 08D2139726

Facility Name: WALMART PHARMACY # 10-2419

Facility Address:
18922 REHOBOTH MALL BLVD
REHOBOTH BEACH, DE
ZIP 19971
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Facility Phone Number: 302 644-8022

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619995032

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 08D2139726
LAB Type Pharmacy
Facility Name WALMART PHARMACY # 10-2419
Street 18922 REHOBOTH MALL BLVD
City REHOBOTH BEACH
State DE
ZIP 19971
Phone 302 644-8022
CertificateType 4
CertificateEffectiveDate 11/7/2023
CertificateExpirationDate 11/6/2025
FacilityType Waiver

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