41D2156531 CLIA NUMBER - WALMART PHARMACY 10-2747

Laboratory Demographics

CLIA Number: 41D2156531

Facility Name: WALMART PHARMACY 10-2747

Facility Address:
650 BALD HILL RD
WARWICK, RI
ZIP 02886
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Facility Phone Number: 401 821-7844

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184641334

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 41D2156531
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2747
Street 650 BALD HILL RD
City WARWICK
State RI
ZIP 02886
Phone 401 821-7844
CertificateType 4
CertificateEffectiveDate 10/19/2022
CertificateExpirationDate 10/18/2024
FacilityType Waiver

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