Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINH CONG BUI PHARM D (PHARMACIST)
(318) 640-8282
Entity
Organization
Contact information
Practice address
3636 MONROE HWY, PINEVILLE, LA 71360-4127
(318) 640-6900
Mailing address
3636 MONROE HWY, PINEVILLE, LA 71360-4127
(318) 640-6900
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
017879
LA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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