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Organization
WALMART PHARMACY
Active
Organization
WALMART PHARMACY
Active
Parent organization
WALMART
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALMART
Authorized official
MR. DENNIS VAN PETERSON R.PH. (PHARMACIST)
(864) 231-6071
Entity
Organization
Contact information
Practice address
3812 LIBERTY HWY, ANDERSON, SC 29621-1344
(864) 231-6071
(864) 231-6073
Mailing address
3812 LIBERTY HWY, ANDERSON, SC 29621
(864) 231-6071
(864) 231-6073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05847
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567
—
SC
Enumeration date
10/14/2014
Last updated
10/14/2014
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