Wal-Mart

NPI #1528423241 in Lancaster, Texas

Provider Information

NPI Number: 1528423241
Entity Type: Organization
Organization Name: Wal-Mart
Primary Specialty: Pharmacist
Enumeration Date: Dec 22, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 350 N BLUEGROVE RD
City: Lancaster
State: Texas
ZIP Code: 75146-2901
Phone: (214) 459-9922

Authorized Official

Name: THO PHAN
Title: PHARMACIST
Phone: (214) 459-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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