10D2188891 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

CLIA Number: 10D2188891

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
ZIP 33009
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Facility Phone Number: 954 455-8355

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043237431

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	10D2188891
LAB Type	Pharmacy
Facility Name	WAL-MART STORES EAST, LP
Street	2551 E HALLANDALE BEACH BLVD
City	HALLANDALE BEACH
State	FL
ZIP	33009
Phone	954 455-8355
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

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