# WALMART

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

## Provider details

- **NPI number:** 1679955504
- **Authorized official:** DR. MARK ANDREW EICHER PHARMD (PHARMACIST)
- **Authorized official phone:** (623) 907-0712

## Contact information

- **Practice address:** 7575 W LOWER BUCKEYE RD, PHOENIX, AZ 85043-3450
- **Practice address phone:** (623) 907-0712
- **Mailing address:** 21024 N 56TH AVE, GLENDALE, AZ 85308-6219
- **Mailing address phone:** (520) 971-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | S020800 | AZ | Yes |

## Other

- **Enumeration date:** 06/27/2015
- **Last updated:** 06/27/2015