NPI 1053789065

Walmart

Organisation Public Health or Welfare Agency Little Rock, AR

Practice location

Address: 2510 Cantrell Rd, Little Rock, AR 72202-2116
Phone: (501) 707-3607
Mailing address: 12580 Southridge Dr, Little Rock, AR 72212-1625

Authorised official

Name: Hiedi Mason
Title: Pharmacist
Phone: (870) 820-1413

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence PD12269 (AR)

Other Public Health or Welfare providers in Arkansas →

Registry record

NPI: 1053789065
Entity type: Organization
NPI issued: 8 Sep 2015
Record last updated: 8 Sep 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.