# WALMART PHARMACY \#1070

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629480298
- **Authorized official:** ROBYN CARTER RPH (STAFF PHARMACIST)
- **Authorized official phone:** (706) 502-2374

## Contact information

- **Practice address:** 88 HIGHLAND XING, EAST ELLIJAY, GA 30540-6052
- **Practice address phone:** (706) 276-1180
- **Mailing address:** 405 RIVEREDGE LN \# 9061, ELLIJAY, GA 30540-5390
- **Mailing address phone:** (706) 502-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 12398 | GA | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014