Organization
DSW ENTERPRISES INC
Active
Other names
Walton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE WALTON (PRES.)
(928) 428-6366
Entity
Organization
Contact information
Practice address
1520 W THATCHER BLVD, SAFFORD, AZ 85546-3309
(928) 428-6366
Mailing address
1520 W THATCHER BLVD, SAFFORD, AZ 85546-3309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3168
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322343
NCPDP NUMBER
—
01
—
374380
AHCCCS #
AZ
Enumeration date
05/20/2006
Last updated
06/06/2024
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