NPI | 1760765606 |
---|---|
Doing Business As | WAL-MART PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Mgr Of Government Contracting 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054017753) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-09-27 |
Last Update Date | 2014-07-25 |