Wal Mart

NPI #1881064335 in Cary, North Carolina

Provider Information

NPI Number: 1881064335
Entity Type: Organization
Organization Name: Wal Mart
Primary Specialty: Pharmacist
Enumeration Date: Sep 28, 2015
Last Updated: Sep 28, 2015

Practice Location

Address: 2010 KILDAIRE FARM RD
City: Cary
State: North Carolina
ZIP Code: 27518-6614
Phone: (919) 852-0749

Authorized Official

Name: MR. CONSTANTINE MICHAEL MAKHULI, PHARM.D.
Title: PHARMACIST
Phone: (919) 852-0749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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