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Organization
WALMART PHARMACY
Active
Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE IBRAHIM (PHARMACIST)
(360) 697-2091
Entity
Organization
Contact information
Practice address
21200 OLHAVA WAY NW, POULSBO, WA 98370-9457
(360) 697-2091
Mailing address
21200 OLHAVA WAY NW, POULSBO, WA 98370-9457
(360) 697-2091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60132714
WA
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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