NPI | 1205101169 |
---|---|
Doing Business As | WALMART PHARMACY 10-5692 |
Entity Type | Organization |
Authorized Contact | MATTHEW MCMULLIN Director 479-371-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2012013717) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-03-12 |
Last Update Date | 2024-05-29 |