Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN SHAH (PHARMACY MANAGER)
(773) 687-4513
Entity
Organization
Contact information
Practice address
2844 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 687-4513
Mailing address
2844 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 687-4513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
054.018094
IL
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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