10D2206897 CLIA NUMBER - WAL-MART STORES EAST LP

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Laboratory Demographics

CLIA Number: 10D2206897

Facility Name: WAL-MART STORES EAST LP

Facility Address:
3200 OLD BOYNTON RD
BOYNTON BEACH, FL
ZIP 33436
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Facility Phone Number: (561) 742-4055

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1124045521

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	10D2206897
LAB Type	PHARMACY
Facility Name	WAL-MART STORES EAST LP
Street	3200 OLD BOYNTON RD
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	(561) 742-4055

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