# WALMART PHARMACY

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

## Provider details

- **NPI number:** 1578010583
- **Authorized official:** VINH CONG BUI PHARM D (PHARMACIST)
- **Authorized official phone:** (318) 640-8282

## Contact information

- **Practice address:** 3636 MONROE HWY, PINEVILLE, LA 71360-4127
- **Practice address phone:** (318) 640-6900
- **Mailing address:** 3636 MONROE HWY, PINEVILLE, LA 71360-4127
- **Mailing address phone:** (318) 640-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 017879 | LA | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016