Wal-Mart Stores INC

NPI #1114217676 in Prairie Grove, Arkansas

Provider Information

NPI Number
1114217676
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 18, 2011
Last Updated
Dec 22, 2015

Practice Location

Address
881 W BUCHANAN ST
ZIP Code
72753-2880
Phone
(905) 873-3021

Authorized Official

Name
LAURA LEVINE
Title
MGR OF GOVERNMENT CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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