Organization
WAL-MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN DOAN (PHARMACIST)
(503) 788-4757
Entity
Organization
Contact information
Practice address
10000 SE 82ND AVE, HAPPY VALLEY, OR 97086-2304
(503) 788-4757
Mailing address
10000 SE 82ND AVE, HAPPY VALLEY, OR 97086-2304
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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