Wal-Mart Pharmacy
Clinic/Center in Rock Hill, SC. Organization (NPI-2).
NPI number1982158622
StatusActive
Last updated in NPPESAug 11, 2016
Details
- NPI
- 1982158622
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Pharmacy
- Organization subpart
- No
- Enumeration date
- Aug 11, 2016
- Last updated
- Aug 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4875 Old York RdRock Hill, SC 29732-8127
Phone 803-323-2091
Mailing address
4875 Old York RdRock Hill, SC 29732-8127
Phone 803-323-2091
Authorized official
Adriana Renee Houston
Staff Pharmacist
8033813103
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