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34D2133486 CLIA NUMBER - WALMART PHARMACY #10-3700

Laboratory Demographics

CLIA Number: 34D2133486

Facility Name: WALMART PHARMACY #10-3700

Facility Address:
2101 YOUNTS ROAD
INDIAN TRAIL, NC
ZIP 28079
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Facility Phone Number: 704 882-6853

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1437176674

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 34D2133486
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3700
Street 2101 YOUNTS ROAD
City INDIAN TRAIL
State NC
ZIP 28079
Phone 704 882-6853
CertificateType 4
CertificateEffectiveDate 7/13/2023
CertificateExpirationDate 7/12/2025
FacilityType Waiver

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