NPI | 1538417241 |
---|---|
Doing Business As | WAL-MART PHARMACY 10-3111 |
Entity Type | Organization |
Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-277-6348 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2012032335) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-08-28 |
Last Update Date | 2025-06-05 |