Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY TOMPKINS (PHARMACIST)
(845) 242-7811
Entity
Organization
Contact information
Practice address
1120 N. OPAL DR., PRESCOTT, AZ 86303
(845) 242-7811
Mailing address
1120 N OPAL DR, PRESCOTT, AZ 86303-6215
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S021763
AZ
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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