10D2178687 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

CLIA Number: 10D2178687

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
ATTN WALMART PHARMACY 10-2591 151 SW 184TH AVE
PEMBROKE PINES, FL
ZIP 33029
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Facility Phone Number: (954) 442-1359

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1881611184

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 10D2178687
LAB Type PHARMACY
Facility Name WAL-MART STORES EAST, LP
Street ATTN WALMART PHARMACY 10-2591 151 SW 184TH AVE
City PEMBROKE PINES
State FL
ZIP 33029
Phone (954) 442-1359

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