45D2117038 CLIA NUMBER - WALMART PHARMACY 10-467

Laboratory Demographics

CLIA Number: 45D2117038

Facility Name: WALMART PHARMACY 10-467

Facility Address:
1515 S LOOP 288
DENTON, TX
ZIP 76205
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Facility Phone Number: 940 891-2900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487671616

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	45D2117038
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-467
Street	1515 S LOOP 288
City	DENTON
State	TX
ZIP	76205
Phone	940 891-2900
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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