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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERIVIC DELIGERO MUHAT PHARMD (PHARMACY MANAGER)
(425) 238-5136
Entity
Organization
Contact information
Practice address
1605 SE EVERETT MALL WAY, EVERETT, WA 98208-2838
(425) 789-3364
(425) 789-3365
Mailing address
1605 SE EVERETT MALL WAY, EVERETT, WA 98208-2838
(425) 789-3364
(425) 789-3365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038070
—
WA
01
—
4936235
NCPDP
WA
Enumeration date
09/16/2014
Last updated
03/07/2023
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