45D2134727 CLIA NUMBER - WALMART PHARMACY 10-999

Laboratory Demographics

CLIA Number: 45D2134727

Facility Name: WALMART PHARMACY 10-999

Facility Address:
7239 SW LOOP 410
SAN ANTONIO, TX
ZIP 78242
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Facility Phone Number: 210 247-5912

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619304425

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	45D2134727
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-999
Street	7239 SW LOOP 410
City	SAN ANTONIO
State	TX
ZIP	78242
Phone	210 247-5912
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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