13D2132333 CLIA NUMBER - WALMART PHARMACY 10-3739

Laboratory Demographics

CLIA Number: 13D2132333

Facility Name: WALMART PHARMACY 10-3739

Facility Address:
5875 E FRANKLIN RD
NAMPA, ID
ZIP 83687
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Facility Phone Number: 208 461-8718

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508950668

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	13D2132333
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3739
Street	5875 E FRANKLIN RD
City	NAMPA
State	ID
ZIP	83687
Phone	208 461-8718
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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