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36D2159244 CLIA NUMBER - WALMART PHARMACY #10-1331

Laboratory Demographics

CLIA Number: 36D2159244

Facility Name: WALMART PHARMACY #10-1331

Facility Address:
2400 MICHIGAN ST
SIDNEY, OH
ZIP 45365
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Facility Phone Number: 937 498-2371

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1992722177

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 36D2159244
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1331
Street 2400 MICHIGAN ST
City SIDNEY
State OH
ZIP 45365
Phone 937 498-2371
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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