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44D2139982 CLIA NUMBER - WALMART PHARMACY 10-0064

Laboratory Demographics

CLIA Number: 44D2139982

Facility Name: WALMART PHARMACY 10-0064

Facility Address:
1100 S DUPREE AVE
BROWNSVILLE, TN
ZIP 38012
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Facility Phone Number: 731 772-6283

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1871511618

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 44D2139982
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0064
Street 1100 S DUPREE AVE
City BROWNSVILLE
State TN
ZIP 38012
Phone 731 772-6283
CertificateType 4
CertificateEffectiveDate 11/13/2023
CertificateExpirationDate 11/12/2025
FacilityType Waiver

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