# WALMART PHARMACY

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

## Provider details

- **NPI number:** 1629390968
- **Authorized official:** MRS. TRACY KILLIAN RPH (PHARMACY MANAGER)
- **Authorized official phone:** (607) 431-9832

## Contact information

- **Practice address:** 143 PLEASANT MEADOWS RD, COOPERSTOWN, NY 13326-5039
- **Practice address phone:** (607) 547-7115
- **Practice address fax:** (607) 431-9206
- **Mailing address:** 143 PLEASANT MEADOWS RD, COOPERSTOWN, NY 13326-5039
- **Mailing address phone:** (607) 547-7115
- **Mailing address fax:** (607) 431-9206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 027503 | NY | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 02/26/2010