NPI | 1972545739 |
---|---|
Doing Business As | WAL-MART PHARMACY 10-3607 |
Entity Type | Organization |
Authorized Contact | MATTHEW MCMULLIN Director 479-371-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 27841) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-13 |
Last Update Date | 2024-05-29 |