Walmart Pharmacy

NPI #1750785127 in Anderson, South Carolina

Provider Information

NPI Number: 1750785127
Entity Type: Organization
Organization Name: Walmart Pharmacy
Subpart: Yes (part of a larger organization)
Parent Organization: WALMART
Primary Specialty: Pharmacist
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 3812 LIBERTY HWY
City: Anderson
State: South Carolina
ZIP Code: 29621-1344
Phone: (864) 231-6071

Authorized Official

Name: MR. DENNIS VAN PETERSON, R.PH.
Title: PHARMACIST
Phone: (864) 231-6071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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