NPI | 1124045265 |
---|---|
Doing Business As | WAL-MART PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Mgr Of Gove RN Ment Contracting 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 21691) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2014-02-20 |