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Wal-Mart Stores INC

Pharmacy, Community/Retail Pharmacy in Gilbert, AZ. Organization (NPI-2).

NPI number1073760880
StatusActive
Last updated in NPPESAug 22, 2008

Details

NPI
1073760880
Entity type
Organization (NPI-2)
Legal business name
Wal-Mart Stores INC
Organization subpart
No
Enumeration date
Aug 22, 2008
Last updated
Aug 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Wal-Mart Pharmacy 10-5901 (Doing Business As)

Practice location

838 West Elliot Road
Gilbert, AZ 85233

Phone 480-539-0741

Mailing address

702 Sw 8th Street
Bentonville, AR 72716-0445

Authorized official

Donna Parsley
Healthcare Enrollment Manager
4792771242

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