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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELEHIA ANN FRAUENHOLTZ PHARM.D (R.PH.)
(972) 202-4007
Entity
Organization
Contact information
Practice address
1400 MCCREARY RD, WYLIE, TX 75098-8776
(972) 202-4007
Mailing address
1400 MCCREARY RD, WYLIE, TX 75098-8776
(972) 202-4007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22672
IA
183500000X
Pharmacist
51299222
IL
183500000X
Pharmacist
Primary
51893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22672
IOWA STATE BOARD OF PHARMACY
—
01
—
463181
NABP
—
01
—
51893
TEXAS STATE BOARD OF PARMACY
TX
Enumeration date
02/10/2016
Last updated
02/10/2016
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