34D2139484 CLIA NUMBER - WALMART PHARMACY 10-7238

Laboratory Demographics

CLIA Number: 34D2139484

Facility Name: WALMART PHARMACY 10-7238

Facility Address:
11233 B NC 55 HIGHWAY
GRANTSBORO, NC
ZIP 28529
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Facility Phone Number: 252 201-9012

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972920577

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 34D2139484
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7238
Street 11233 B NC 55 HIGHWAY
City GRANTSBORO
State NC
ZIP 28529
Phone 252 201-9012
CertificateType 4
CertificateEffectiveDate 11/3/2023
CertificateExpirationDate 11/2/2025
FacilityType Waiver

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