| NPI | 1659398022 |
|---|---|
| Doing Business As | WAL-MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANNA PAINTER Phy Enrollment Specialist 479-277-1238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005852A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2009-01-26 |