| NPI | 1104364157 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-5725 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007150) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-10-12 |