Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER PAGE (MANAGER)
(218) 829-5510
Entity
Organization
Contact information
Practice address
7295 GLORY RD, BAXTER, MN 56425-7308
(218) 829-5510
Mailing address
7295 GLORY RD, BAXTER, MN 56425-7308
(218) 829-5510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
121801
MN
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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