42D2182006 CLIA NUMBER - WALMART PHARMACY 10-5087

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Laboratory Demographics

CLIA Number: 42D2182006

Facility Name: WALMART PHARMACY 10-5087

Facility Address:
550 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC
ZIP 29582
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Facility Phone Number: (843) 281-8176

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1124045398

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	42D2182006
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-5087
Street	550 HIGHWAY 17 N
City	NORTH MYRTLE BEACH
State	SC
ZIP	29582
Phone	(843) 281-8176

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This page was last updated on: 5/11/2023