Organization
WAL-MART STORES INC
Active
Other names
Wal-Mart Pharmacy 10-3511
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PARSLEY (PHARMACY ENROLLMENT MANAGER)
(479) 277-1242
Entity
Organization
Contact information
Practice address
HONEYSUCKLE AND HWY 95, HAYDEN, ID 83835
(479) 277-1242
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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