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Organization
WAL-MART
Active
Organization
WAL-MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THO PHAN (PHARMACIST)
(214) 459-9922
Entity
Organization
Contact information
Practice address
350 N BLUEGROVE RD, LANCASTER, TX 75146-2901
(214) 459-9922
(214) 459-2293
Mailing address
350 N BLUEGROVE RD, LANCASTER, TX 75146-2901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55598
TX
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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