| NPI | 1083631188 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-2529 |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCMULLIN Director 479-371-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201003417) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-05-15 |