Wal-Mart Stores, INC

NPI #1093055147 in Tempe, Arizona

Provider Information

NPI Number
1093055147
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 27, 2013
Last Updated
Feb 27, 2013

Practice Location

Address
671 E APACHE BLVD
Address 2
SUITE 128
City
Tempe
State
Arizona
ZIP Code
85281-6717
Phone
(480) 967-2307

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 204-8741

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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