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45D2130805 CLIA NUMBER - WALMART PHARMACY 10-2505

Laboratory Demographics

CLIA Number: 45D2130805

Facility Name: WALMART PHARMACY 10-2505

Facility Address:
5501 HIGHWAY 6
MISSOURI CITY, TX
ZIP 77459
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Facility Phone Number: 281 403-0037

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1558388736

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 45D2130805
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2505
Street 5501 HIGHWAY 6
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 403-0037
CertificateType 4
CertificateEffectiveDate 5/17/2023
CertificateExpirationDate 5/16/2025
FacilityType Waiver

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