Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LE (PHARMACIST)
(828) 318-7377
Entity
Organization
Contact information
Practice address
3265 MANHATTAN BLVD, HARVEY, LA 70058-5112
(504) 366-5711
Mailing address
3265 MANHATTAN BLVD, HARVEY, LA 70058-5112
(504) 366-5711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021698
LA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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