| NPI | 1962954453 |
|---|---|
| Doing Business As | WAL-MART PHARMACY 10-5922 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dir Healthcare Contract & Enrollmen 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2017-03-27 |