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44D2146941 CLIA NUMBER - WALMART PHARMACY 10-3017

Laboratory Demographics

CLIA Number: 44D2146941

Facility Name: WALMART PHARMACY 10-3017

Facility Address:
4959 MAIN STREET
SPRING HILL, TN
ZIP 37174
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Facility Phone Number: 615 435-2446

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1659612018

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 44D2146941
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3017
Street 4959 MAIN STREET
City SPRING HILL
State TN
ZIP 37174
Phone 615 435-2446
CertificateType 4
CertificateEffectiveDate 4/10/2024
CertificateExpirationDate 4/9/2026
FacilityType Waiver

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