| NPI | 1568489730 |
|---|---|
| Doing Business As | WAL-MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RANDY WRIGHT Phy Enrollment Specialist 479-273-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN C1784) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-02-28 |