Organization
WAL MART
Active
Organization
WAL MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJ PANDYA (STORE MANAGER)
(864) 834-7179
Entity
Organization
Contact information
Practice address
9 BENTON RD, TRAVELERS RST, SC 29690-2168
(864) 834-7179
Mailing address
9 BENTON RD, TRAVELERS RST, SC 29690-2168
(864) 834-7179
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4637
SC
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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