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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MICHAEL DERNER (PHARMACIST)
(941) 330-6147
Entity
Organization
Contact information
Practice address
800 E SOUTHERN AVE, TEMPE, AZ 85282-5225
(480) 966-2791
Mailing address
4215 N DRINKWATER BLVD, APT. 305, SCOTTSDALE, AZ 85251-3930
(941) 330-6147
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
S021138
AZ
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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