| NPI | 1336661461 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-2464 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-07-19 |