# WALMART PHARMACY

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

## Provider details

- **NPI number:** 1750765806
- **Authorized official:** DR. MOHAB M TAKLA (PHARMACIST INTERN)
- **Authorized official phone:** (760) 567-0676

## Contact information

- **Practice address:** 23106 US HIGHWAY 19 N, CLEARWATER, FL 33765-1849
- **Practice address phone:** (727) 724-3403
- **Mailing address:** 23106 US HIGHWAY 19 N, CLEARWATER, FL 33765-1849
- **Mailing address phone:** (727) 724-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | PSI31013 | FL | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015