Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KERR PHARMD (PHARMACIST)
(708) 926-4743
Entity
Organization
Contact information
Practice address
505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
(708) 926-4743
Mailing address
505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
(708) 926-4743
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051.298761
IL
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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