Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORTEZA PARHIZKAR PHARMD (PHARMACIST)
(505) 506-8660
Entity
Organization
Contact information
Practice address
301 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-5629
(505) 262-1915
(505) 268-0059
Mailing address
2428 WINDWARD DR NW, ALBUQUERQUE, NM 87120-3698
(505) 506-8660
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
RP00008596
NM
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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