45D2131440 CLIA NUMBER - WALMART PHARMACY 10-0504

Laboratory Demographics

CLIA Number: 45D2131440

Facility Name: WALMART PHARMACY 10-0504

Facility Address:
6702 SEAWALL BLVD
GALVESTON, TX
ZIP 77551
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Facility Phone Number: 409 744-2236

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669499844

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	45D2131440
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-0504
Street	6702 SEAWALL BLVD
City	GALVESTON
State	TX
ZIP	77551
Phone	409 744-2236
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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