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Organization
WALMART PHARMACY
Active
Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYEDA HUMAIRA ALI (PHARMACIST)
(630) 615-8002
Entity
Organization
Contact information
Practice address
3000 E FRANKLIN BLVD, GASTONIA, NC 28056-9451
(704) 868-2095
Mailing address
3000 E FRANKLIN BLVD, GASTONIA, NC 28056-9451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26478
NC
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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