45D2133232 CLIA NUMBER - WALMART PHARMACY 10-827

Laboratory Demographics

CLIA Number: 45D2133232

Facility Name: WALMART PHARMACY 10-827

Facility Address:
603 E HIGHWAY 243
CANTON, TX
ZIP 75103
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Facility Phone Number: 903 567-6578

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922025162

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	45D2133232
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-827
Street	603 E HIGHWAY 243
City	CANTON
State	TX
ZIP	75103
Phone	903 567-6578
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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