| NPI | 1073601571 |
|---|---|
| Doing Business As | WALDEN DRUG |
| Entity Type | Organization |
| Authorized Contact | JEREMY HANCOCK PIC 870-236-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20386) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-08-22 |