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21D2157623 CLIA NUMBER - WALMART PHARMACY 10-5345

Laboratory Demographics

CLIA Number: 21D2157623

Facility Name: WALMART PHARMACY 10-5345

Facility Address:
10600 TOWNE CENTER BOULEVARD
DUNKIRK, MD
ZIP 20754
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Facility Phone Number: 410 257-2913

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1477759470

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 21D2157623
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5345
Street 10600 TOWNE CENTER BOULEVARD
City DUNKIRK
State MD
ZIP 20754
Phone 410 257-2913
CertificateType 4
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType Waiver

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