Wal-Mart Stores, Inc.
NPI #1104002534 in Bottineau, North Dakota
Provider Information
- NPI Number
- 1104002534
- 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
- Jan 16, 2008
- Last Updated
- Feb 6, 2009
Practice Location
- Address
- 912 11TH STREET EAST
- City
- Bottineau
- State
- North Dakota
- ZIP Code
- 58318
- Phone
- (701) 228-5930
Authorized Official
- Name
- DIANNA PAINTER
- Title
- TP ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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