45D2119700 CLIA NUMBER - WALMART PHARMACY 10-5963

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Laboratory Demographics

CLIA Number: 45D2119700

Facility Name: WALMART PHARMACY 10-5963

Facility Address:
2800 FLOWER MOUND ROAD
FLOWER MOUND, TX
ZIP 75022
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Facility Phone Number: 972 538-0444

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447537949

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	45D2119700
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-5963
Street	2800 FLOWER MOUND ROAD
City	FLOWER MOUND
State	TX
ZIP	75022
Phone	972 538-0444
CertificateType	4
CertificateEffectiveDate	10/3/2022
CertificateExpirationDate	10/2/2024
FacilityType	Waiver

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