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37D2153346 CLIA NUMBER - WALMART PHARMACY 10-129

Laboratory Demographics

CLIA Number: 37D2153346

Facility Name: WALMART PHARMACY 10-129

Facility Address:
1715 N COMMERCE ST
ARDMORE, OK
ZIP 73401
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Facility Phone Number: 580 226-6444

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1144247271

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 37D2153346
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-129
Street 1715 N COMMERCE ST
City ARDMORE
State OK
ZIP 73401
Phone 580 226-6444
CertificateType 4
CertificateEffectiveDate 8/24/2022
CertificateExpirationDate 8/23/2024
FacilityType Waiver

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