| NPI | 1730612425 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-4734 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000147) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-04-26 |