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42D2181876 CLIA NUMBER - WALMART PHARMACY 10-4384

Laboratory Demographics

CLIA Number: 42D2181876

Facility Name: WALMART PHARMACY 10-4384

Facility Address:
3000 PROPRIETORS PL
MOUNT PLEASANT, SC
ZIP 29466
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Facility Phone Number: 843 884-2824

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1306045893

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 42D2181876
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4384
Street 3000 PROPRIETORS PL
City MOUNT PLEASANT
State SC
ZIP 29466
Phone 843 884-2824
CertificateType 4
CertificateEffectiveDate 4/13/2024
CertificateExpirationDate 4/12/2026
FacilityType Waiver

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