Wal-Mart Pharmacy

NPI #1619378759 in Page, Arizona

Provider Information

NPI Number: 1619378759
Entity Type: Organization
Organization Name: Wal-Mart Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Sep 9, 2014
Last Updated: Sep 9, 2014

Practice Location

Address: 1017 WEST HAUL
City: Page
State: Arizona
ZIP Code: 86040-0656
Phone: (928) 645-2917

Authorized Official

Name: STACY LYNN SMITH
Title: PHARMACIST
Phone: (928) 645-2917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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