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19D2141847 CLIA NUMBER - WALMART PHARMACY #10-909

Laboratory Demographics

CLIA Number: 19D2141847

Facility Name: WALMART PHARMACY #10-909

Facility Address:
8104 W JUDGE PEREZ DR
CHALMETTE, LA
ZIP 70043
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Facility Phone Number: 504 278-2027

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1235468174

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 19D2141847
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-909
Street 8104 W JUDGE PEREZ DR
City CHALMETTE
State LA
ZIP 70043
Phone 504 278-2027
CertificateType 4
CertificateEffectiveDate 12/22/2023
CertificateExpirationDate 12/21/2025
FacilityType Waiver

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