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44D2140134 CLIA NUMBER - WALMART PHARMACY 10-3234

Laboratory Demographics

CLIA Number: 44D2140134

Facility Name: WALMART PHARMACY 10-3234

Facility Address:
4331 HIGHWAY 66 S
ROGERSVILLE, TN
ZIP 37857
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Facility Phone Number: 423 272-9393

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619994811

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 44D2140134
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3234
Street 4331 HIGHWAY 66 S
City ROGERSVILLE
State TN
ZIP 37857
Phone 423 272-9393
CertificateType 4
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType Waiver

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