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Organization

WALMART

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LONI VANCE PHD (PHARMACIST/MANAGERX)
(410) 284-0126
Entity
Organization

Contact information

Practice address
2399 N POINT BLVD, DUNDALK, MD 21222-1623
(410) 284-0126
(410) 284-0292
Mailing address
2399 N POINT BLVD, DUNDALK, MD 21222-1623
(410) 284-0126
(410) 284-0292

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
BW6291001
MD

Other

Enumeration date
06/08/2006
Last updated
07/21/2022
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