| NPI | 1134560451 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-3021 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Of Gov. Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000038) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2015-11-10 |