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45D2117388 CLIA NUMBER - WALMART PHARMACY 10-5147

Laboratory Demographics

CLIA Number: 45D2117388

Facility Name: WALMART PHARMACY 10-5147

Facility Address:
1521 N COCKRELL HILL ROAD
DALLAS, TX
ZIP 75211
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Facility Phone Number: 214 337-8092

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922025071

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 45D2117388
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5147
Street 1521 N COCKRELL HILL ROAD
City DALLAS
State TX
ZIP 75211
Phone 214 337-8092
CertificateType 4
CertificateEffectiveDate 8/16/2022
CertificateExpirationDate 8/15/2024
FacilityType Waiver

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