| NPI | 1790187979 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-3755 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dir. Healthcare Contracting 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007033-RC) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2015-12-28 |