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Organization
WAL-MART PHARMACY
Active
Organization
WAL-MART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LYNN SMITH (PHARMACIST)
(928) 645-2917
Entity
Organization
Contact information
Practice address
1017 WEST HAUL, PAGE, AZ 86040-0656
(928) 645-2917
Mailing address
1017 W HAUL RD, PAGE, AZ 86040
(928) 645-2917
(928) 645-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016867
AZ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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