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Contact Information

WALMART STORES INC.
1741 E. FLORENCE BLVD
CASA GRANDE, AZ85122
 Phone: 520-208-0869
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALMART STORES INC.

NPI Number 1770095317
LBN Legal business name WALMART STORES INC.
Authorized official GABRIEL NAVOA - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2017
Last updated 11/03/2017 - About 9 years ago
Identifiers
AZ License # S022786
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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