Organization
WAL-MART PHARMACY STORE 3422
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUAHUA SHI PHARMD (PHARMACY MANAGER)
(856) 384-6740
Entity
Organization
Contact information
Practice address
2000 CLEMENTS BRIDGE RD, DEPTFORD, NJ 08096-2016
(856) 384-6740
(856) 384-6742
Mailing address
2000 CLEMENTS BRIDGE RD, DEPTFORD, NJ 08096-2016
(856) 384-6740
(856) 384-6742
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
28R103317000
NJ
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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