45D2119209 CLIA NUMBER - WALMART PHARMACY 10-4627

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Laboratory Demographics

CLIA Number: 45D2119209

Facility Name: WALMART PHARMACY 10-4627

Facility Address:
2750 W UNIVERSITY DRIVE
DENTON, TX
ZIP 76201
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Facility Phone Number: 940 566-5049

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1760799712

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	45D2119209
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-4627
Street	2750 W UNIVERSITY DRIVE
City	DENTON
State	TX
ZIP	76201
Phone	940 566-5049
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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