Organization
WAL-MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH LEVULIS PHARM.D. (PHARMACIST)
(719) 589-9021
Entity
Organization
Contact information
Practice address
3333 CLARK ST, PHARMACY, ALAMOSA, CO 81101
(719) 589-9021
Mailing address
238 CALLE BUENA, ALAMOSA, CO 81101-1800
(720) 636-2261
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20933
CO
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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