45D2127323 CLIA NUMBER - WALMART PHARMACY 10-1296

Laboratory Demographics

CLIA Number: 45D2127323

Facility Name: WALMART PHARMACY 10-1296

Facility Address:
1126 W US HIGHWAY 77
SAN BENITO, TX
ZIP 78586
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Facility Phone Number: 956 301-9386

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1801814603

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	45D2127323
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1296
Street	1126 W US HIGHWAY 77
City	SAN BENITO
State	TX
ZIP	78586
Phone	956 301-9386
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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