| NPI | 1104002534 |
|---|---|
| Doing Business As | WAL-MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANNA PAINTER Tp Enrollment Specialist 479-277-1238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2009-02-06 |