Wal-Mart Stores, INC

NPI #1154755197 in Polson, Montana

Provider Information

NPI Number
1154755197
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 27, 2013
Last Updated
Aug 27, 2013

Practice Location

Address
36318 MEMORY LANE
City
Polson
State
Montana
ZIP Code
59860
Phone
(479) 273-4885

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 258-2115

Specialties & Taxonomy Codes

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

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