19D2143376 CLIA NUMBER - WALMART PHARMACY #10-553

Laboratory Demographics

CLIA Number: 19D2143376

Facility Name: WALMART PHARMACY #10-553

Facility Address:
39142 NATCHEZ DR
SLIDELL, LA
ZIP 70461
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Facility Phone Number: 985 649-2687

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972520237

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	19D2143376
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-553
Street	39142 NATCHEZ DR
City	SLIDELL
State	LA
ZIP	70461
Phone	985 649-2687
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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