| NPI | 1659398840 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-2211 |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Cms Es Md E Mdr 480-277-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 020975850) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-06-06 |