Organization
WALMART
Active
Parent organization
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
DR. RAED ALZAHRANI (PHARMACY MANAGER)
(503) 929-0199
Entity
Organization
Contact information
Practice address
3290 S SANTIAM HWY, LEBANON, OR 97355-3737
(541) 258-7440
Mailing address
1995 TRADE ST SE, SALEM, OR 97301-8265
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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