| NPI | 1093055147 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-4060 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-204-8741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |