13D2149863 CLIA NUMBER - WALMART PHARMACY #10-3897

Laboratory Demographics

CLIA Number: 13D2149863

Facility Name: WALMART PHARMACY #10-3897

Facility Address:
252 CHENEY DR W
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: (208) 736-3387

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1417190315

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	13D2149863
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY #10-3897
Street	252 CHENEY DR W
City	TWIN FALLS
State	ID
ZIP	83301
Phone	(208) 736-3387

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