25D2127422 CLIA NUMBER - WALMART PHARMACY 10-6849

Laboratory Demographics

CLIA Number: 25D2127422

Facility Name: WALMART PHARMACY 10-6849

Facility Address:
2050 PASS RD
BILOXI, MS
ZIP 39531
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Facility Phone Number: 228 271-6724

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548680978

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	25D2127422
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-6849
Street	2050 PASS RD
City	BILOXI
State	MS
ZIP	39531
Phone	228 271-6724
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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