27D2149993 CLIA NUMBER - WALMART INC DBA WALMART PHARMACY #2084

Laboratory Demographics

CLIA Number: 27D2149993

Facility Name: WALMART INC DBA WALMART PHARMACY #2084

Facility Address:
1500 N 7TH AVE
BOZEMAN, MT
ZIP 59715
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Facility Phone Number: 406 585-8753

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134146475

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	27D2149993
LAB Type	Pharmacy
Facility Name	WALMART INC DBA WALMART PHARMACY #2084
Street	1500 N 7TH AVE
City	BOZEMAN
State	MT
ZIP	59715
Phone	406 585-8753
CertificateType	4
CertificateEffectiveDate	6/14/2022
CertificateExpirationDate	6/13/2024
FacilityType	Waiver

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