Wal-Mart Stores East Lp Valid NPI
Organization · Community/Retail Pharmacy · Loganville, GA
- NPI
- 1992722235
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- PHRE008806 (GA)
- Enumerated
- 2006-07-16
- Last updated
- 2017-02-16
Practice location
4221 Atlanta Hwy
Loganville, GA 30052-7316
(770) 554-6785