10D2180348 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

CLIA Number: 10D2180348

Facility Name: WAL-MART STORE EAST, LP

Facility Address:
6294 FOREST HILL BLVD
GREEN ACRES, FL
ZIP 33415
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Facility Phone Number: (561) 966-3106

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1225055601

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	10D2180348
LAB Type	PHARMACY
Facility Name	WAL-MART STORE EAST, LP
Street	6294 FOREST HILL BLVD
City	GREEN ACRES
State	FL
ZIP	33415
Phone	(561) 966-3106

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