Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAB M TAKLA (PHARMACIST INTERN)
(760) 567-0676
Entity
Organization
Contact information
Practice address
23106 US HIGHWAY 19 N, CLEARWATER, FL 33765-1849
(727) 724-3403
Mailing address
23106 US HIGHWAY 19 N, CLEARWATER, FL 33765-1849
(727) 724-3403
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PSI31013
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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