# WALMART PHARMACY

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

## Provider details

- **NPI number:** 1770936502
- **Authorized official:** DR. LAKYN ASHLEIGH BAKER PHARM.D., RPH., MA. (PHARMACIST)
- **Authorized official phone:** (318) 609-2101

## Contact information

- **Practice address:** 2491 HIGHWAY 120, ROBELINE, LA 71469-5509
- **Practice address phone:** (318) 609-2101
- **Mailing address:** 2491 HIGHWAY 120, ROBELINE, LA 71469-5509
- **Mailing address phone:** (318) 609-2101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PST.021386 | LA | Yes |

## Other

- **Enumeration date:** 07/17/2016
- **Last updated:** 07/17/2016