NPI | 1205944592 |
---|---|
Doing Business As | WALMART PHARMACY 10-4219 |
Entity Type | Organization |
Authorized Contact | KIMBERLY CANONIC Senior Director Enrollment 479-371-1168 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25079) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-27 |
Last Update Date | 2025-07-09 |