| NPI | 1922533082 |
|---|---|
| Other Name | WALMART PHARMACY 10-6477 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007255) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-02-27 |