10D2189855 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

CLIA Number: 10D2189855

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
2650 CREIGHTON RD
PENSACOLA, FL
ZIP 32504
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Facility Phone Number: (850) 479-2228

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1952328320

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 10D2189855
LAB Type PHARMACY
Facility Name WAL-MART STORES EAST, LP
Street 2650 CREIGHTON RD
City PENSACOLA
State FL
ZIP 32504
Phone (850) 479-2228

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