18D2144953 CLIA NUMBER - WAL-MART PHARMACY 10-2783

Laboratory Demographics

CLIA Number: 18D2144953

Facility Name: WAL-MART PHARMACY 10-2783

Facility Address:
500 W NEW CIRCLE RD
LEXINGTON, KY
ZIP 40511
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Facility Phone Number: 859 381-1530

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588797690

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	18D2144953
LAB Type	Pharmacy
Facility Name	WAL-MART PHARMACY 10-2783
Street	500 W NEW CIRCLE RD
City	LEXINGTON
State	KY
ZIP	40511
Phone	859 381-1530
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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