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Walmart Pharmacy #0914

Pharmacy, Community/Retail Pharmacy in Cassville, MO. Organization (NPI-2).

NPI number1730557331
StatusActive
Last updated in NPPESSep 13, 2015

Details

NPI
1730557331
Entity type
Organization (NPI-2)
Legal business name
Walmart Pharmacy #0914
Organization subpart
No
Enumeration date
Sep 13, 2015
Last updated
Sep 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy040660MOYes

Other names

  • Walmart (Doing Business As)

Practice location

1401 Old Exeter Rd
Cassville, MO 65625-9415

Phone 417-847-3180 · Fax 417-847-3650

Mailing address

1401 Old Exeter Rd
Cassville, MO 65625-9415

Phone 417-847-3180 · Fax 417-847-3650

Authorized official

Timothy Swaffer
Assistant Pharmacy Manager
4178473180

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