10D2208050 CLIA NUMBER - WAL-MART STORES EAST, LP

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Laboratory Demographics

CLIA Number: 10D2208050

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
4600 MOBILE HWY STE 122
PENSACOLA, FL
ZIP 32506
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Facility Phone Number: (850) 455-3620

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1861419244

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	10D2208050
LAB Type	PHYSICIAN OFFICE
Facility Name	WAL-MART STORES EAST, LP
Street	4600 MOBILE HWY STE 122
City	PENSACOLA
State	FL
ZIP	32506
Phone	(850) 455-3620

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