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50D2174940 CLIA NUMBER - WALMART PHARMACY #10-2317

Laboratory Demographics

CLIA Number: 50D2174940

Facility Name: WALMART PHARMACY #10-2317

Facility Address:
6797 STATE HIGHWAY 303 NE
BREMERTON, WA
ZIP 98311
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Facility Phone Number: 360 698-3446

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1376560490

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 50D2174940
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2317
Street 6797 STATE HIGHWAY 303 NE
City BREMERTON
State WA
ZIP 98311
Phone 360 698-3446
CertificateType 4
CertificateEffectiveDate 11/12/2019
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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