Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY KILLIAN RPH (PHARMACY MANAGER)
(607) 431-9832
Entity
Organization
Contact information
Practice address
143 PLEASANT MEADOWS RD, COOPERSTOWN, NY 13326-5039
(607) 547-7115
(607) 431-9206
Mailing address
143 PLEASANT MEADOWS RD, COOPERSTOWN, NY 13326-5039
(607) 547-7115
(607) 431-9206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027503
NY
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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