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36D2157813 CLIA NUMBER - WALMART PHARMACY #10-2035

Laboratory Demographics

CLIA Number: 36D2157813

Facility Name: WALMART PHARMACY #10-2035

Facility Address:
1501 WAGNER AVE
GREENVILLE, OH
ZIP 45331
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Facility Phone Number: 937 547-9844

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093732281

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 36D2157813
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2035
Street 1501 WAGNER AVE
City GREENVILLE
State OH
ZIP 45331
Phone 937 547-9844
CertificateType 4
CertificateEffectiveDate 11/14/2022
CertificateExpirationDate 11/13/2024
FacilityType Waiver

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