Wal-Mart Stores INC
NPI #1174960843 in Hawaiian Gardens, California
Provider Information
- NPI Number
- 1174960843
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Oct 6, 2014
Practice Location
- Address
- 12120 CARSON ST
- City
- Hawaiian Gardens
- State
- California
- ZIP Code
- 90716-1108
- Phone
- (562) 384-4063
Authorized Official
- Name
- LAURA LEVINE
- Title
- MANAGER OF GOVERNMENT CONTRACT
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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