Wal-Mart Stores INC

NPI #1144515131 in Gravette, Arkansas

Provider Information

NPI Number
1144515131
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 17, 2011
Last Updated
Dec 22, 2015

Practice Location

Address
800 1ST AVE SE
ZIP Code
72736-9815
Phone
(479) 787-5248

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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