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45D2136854 CLIA NUMBER - WALMART PHARMACY 10-1257

Laboratory Demographics

CLIA Number: 45D2136854

Facility Name: WALMART PHARMACY 10-1257

Facility Address:
2614 N SWENSON ST
STAMFORD, TX
ZIP 79553
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Facility Phone Number: 325 773-2779

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1417974676

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 45D2136854
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1257
Street 2614 N SWENSON ST
City STAMFORD
State TX
ZIP 79553
Phone 325 773-2779
CertificateType 4
CertificateEffectiveDate 9/18/2023
CertificateExpirationDate 9/17/2025
FacilityType Waiver

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