45D2117419 CLIA NUMBER - WALMART PHARMACY 10-3631

Laboratory Demographics

CLIA Number: 45D2117419

Facility Name: WALMART PHARMACY 10-3631

Facility Address:
1221 FM 1187
CROWLEY, TX
ZIP 76036
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Facility Phone Number: 682 233-7841

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346510914

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	45D2117419
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3631
Street	1221 FM 1187
City	CROWLEY
State	TX
ZIP	76036
Phone	682 233-7841
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