Wal-Mart Pharmacy INC West
NPI #1962429241 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1962429241
- Entity Type
- Organization
- Organization Name
- Wal-Mart Pharmacy INC West
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 930 MOUNT PROSPECT PLZ
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-2652
- Phone
- (847) 590-0011
Authorized Official
- Name
- DIANNA PAINTER
- Title
- PHY ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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