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Organization

WALMART PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ASHLEIGH CARPENTER (PHARMACIST PHARMACY MANAGER)
(386) 330-2399
Entity
Organization

Contact information

Practice address
6868 US HWY129, LIVE OAK, FL 32060
(386) 330-2399
Mailing address
6868 US HWY129, LIVE OAK, FL 32060

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH16140
FL

Other

Enumeration date
02/06/2007
Last updated
08/22/2020
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