Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D CHIARELLI BS (MANGER PHARMACY)
(772) 873-1616
Entity
Organization
Contact information
Practice address
1675 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2106
(772) 873-1616
Mailing address
1675 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2106
(772) 873-1616
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS27882
FL
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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