# WALMART PHARMACY 10 0764

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

## Provider details

- **NPI number:** 1578937942
- **Authorized official:** RYAN STALKER PHARM.D. (PHARMACY MANAGER)
- **Authorized official phone:** (205) 424-5895

## Contact information

- **Practice address:** 750 ACADEMY DR, BESSEMER, AL 35022-5200
- **Practice address phone:** (205) 424-5895
- **Practice address fax:** (205) 424-5897
- **Mailing address:** 750 ACADEMY DR, BESSEMER, AL 35022-5200
- **Mailing address phone:** (205) 424-5895
- **Mailing address fax:** (205) 424-5897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 17114 | AL | Yes |

## Other

- **Enumeration date:** 11/21/2015
- **Last updated:** 11/21/2015