NPI 1013387794
Wal-Mart
Practice location
- Address
- 10000 SE 82nd Ave, Happy Valley, OR 97086-2304
- Phone
- (503) 788-4757
Authorised official
- Name
- Ken Doan
- Title
- Pharmacist
- Phone
- (503) 788-4757
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1013387794
- Entity type
- Organization
- NPI issued
- 7 Oct 2015
- Record last updated
- 7 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.