Whalio Doctors

NPI 1114217676

Wal-Mart Stores INC

Organisation Community/Retail Pharmacy Prairie Grove, AR

Practice location

Address
881 W Buchanan St, Prairie Grove, AR 72753-2880
Phone
(905) 873-3021
Mailing address
702 SW 8th St, Bentonville, AR 72716-6209

Authorised official

Name
Laura Levine
Title
Mgr of Government Contracting
Phone
(479) 204-8550

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence AR20650 (AR)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1114217676
Entity type
Organization
NPI issued
18 Apr 2011
Record last updated
22 Dec 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.