32D2139014 CLIA NUMBER - WALMART PHARMACY 10-1306

Laboratory Demographics

CLIA Number: 32D2139014

Facility Name: WALMART PHARMACY 10-1306

Facility Address:
233 S NEW YORK AVE
ALAMOGORDO, NM
ZIP 88310
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Facility Phone Number: 575 434-5345

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164449211

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	32D2139014
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1306
Street	233 S NEW YORK AVE
City	ALAMOGORDO
State	NM
ZIP	88310
Phone	575 434-5345
CertificateType	4
CertificateEffectiveDate	10/30/2023
CertificateExpirationDate	10/29/2025
FacilityType	Waiver

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