# WALMART PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548719040
- **Authorized official:** MORTEZA PARHIZKAR PHARMD (PHARMACIST)
- **Authorized official phone:** (505) 506-8660

## Contact information

- **Practice address:** 301 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-5629
- **Practice address phone:** (505) 262-1915
- **Practice address fax:** (505) 268-0059
- **Mailing address:** 2428 WINDWARD DR NW, ALBUQUERQUE, NM 87120-3698
- **Mailing address phone:** (505) 506-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | RP00008596 | NM | Yes |

## Other

- **Enumeration date:** 09/25/2016
- **Last updated:** 09/25/2016