Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH GARRETT HATHORN PHARMD (STAFF PHARMACIST)
(505) 290-1952
Entity
Organization
Contact information
Practice address
4700 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4096
(505) 346-1661
Mailing address
4700 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4096
(505) 346-1661
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP00008248
NM
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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