45D2117151 CLIA NUMBER - WALMART PHARMACY 10-2995

Laboratory Demographics

CLIA Number: 45D2117151

Facility Name: WALMART PHARMACY 10-2995

Facility Address:
8040 INDEPENDENCE PKWY
PLANO, TX
ZIP 75025
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Facility Phone Number: 972 396-6408

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649304478

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	45D2117151
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-2995
Street	8040 INDEPENDENCE PKWY
City	PLANO
State	TX
ZIP	75025
Phone	972 396-6408
CertificateType	4
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Waiver

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