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Organization
WAL-MART STORES, INC.
Active
Organization
WAL-MART STORES, INC.
Active
Other names
Wal-Mart Pharmacy 10-5096
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY MCMULLEN (LICENSING SPECIALIST)
(479) 277-9068
Entity
Organization
Contact information
Practice address
34500 MONTEREY AVENUE, PALM DESERT, CA 92260
(760) 328-3168
Mailing address
702 SW 8TH STREET, MAIL STOP 0230, BENTONVILLE, AR 72716-0230
(479) 277-9068
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
47501
CA
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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