| NPI | 1366985061 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-4590 |
| Entity Type | Organization |
| Authorized Contact | DEBORAH LAUVER Enrollment Specialist 479-204-8741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2500037977) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-08-29 |