| NPI | 1962741884 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-5803 |
| Entity Type | Organization |
| Authorized Contact | AMY POWERS Specialist, Plan Enrollment 479-204-0709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |