Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SMASAL RPH (M540 HEALTH AND WELLNESS DIRECTOR)
(360) 253-1202
Entity
Organization
Contact information
Practice address
1601 NW LOUISIANA AVE, CHEHALIS, WA 98532-1700
(360) 748-0858
Mailing address
PO BOX 147, NAPAVINE, WA 98565-0147
(206) 941-5556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PH60584318
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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