Organization
WALMART STORES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL NAVOA (PHARMACIST)
(520) 208-0869
Entity
Organization
Contact information
Practice address
1741 E. FLORENCE BLVD, CASA GRANDE, AZ 85122
(520) 208-0869
Mailing address
1741 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S022786
AZ
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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