Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODY ARNOLD RPH, PD (STAFF PHARMACIST)
(337) 905-4031
Entity
Organization
Contact information
Practice address
260 SAM HOUSTON JONES PKWY, MOSS BLUFF, LA 70611-5603
(337) 214-6402
Mailing address
260 SAM HOUSTON JONES PKWY, MOSS BLUFF, LA 70611-5603
(337) 214-6402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
016829
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016829
LA BOARD OF PHARMACY
LA
01
—
39408
TX BOARD OF PHARMACY
TX
Enumeration date
02/16/2015
Last updated
02/16/2015
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