Organization · Type 2 NPI

Wal-Mart Stores Inc

Community/Retail Pharmacy · Portland, OR

NPI number 1023352812 Active

Practice location

8235 SW Apple Way
Portland, OR 97225-1782

Call (503) 205-9977 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	RP-0002757-CS (OR)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1023352812
Entity type: Organization (Type 2)
Issued: Nov 16, 2012
Last updated: Mar 26, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Pharmacy 10-3097 · doing business as

Authorized official

Laura Levine
Manager Govt Contracting
(479) 204-8550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023352812

Wal-Mart Stores Inc's National Provider Identifier is 1023352812, issued on Nov 16, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Portland, OR. The record was last updated on Mar 26, 2014.