NPI | 1396291647 |
---|---|
Doing Business As | WALMART PHARMACY 10-0154 |
Entity Type | Organization |
Authorized Contact | MATTHEW MCMULLIN Director, Contracting 479-371-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004741) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2016-08-28 |
Last Update Date | 2023-12-01 |