Organization
WAL-MART
Active
Parent organization
WAL-MART
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART
Authorized official
HOPE CROSLAND PHARMD (PHARMACY CLINICAL SERVICES MANAGER)
(801) 721-9246
Entity
Organization
Contact information
Practice address
1710 E SKYLINE DR, OGDEN, UT 84405-5202
(801) 479-6895
Mailing address
PO BOX 1041, EDEN, UT 84310-1041
(801) 721-9246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
P7622
ID
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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