Organization · Type 2 NPI

Wal-Mart Stores, Inc

Community/Retail Pharmacy · Tempe, AZ

NPI number 1093055147 Active

Practice location

671 E Apache Blvd, Suite 128
Tempe, AZ 85281-6717

Call (480) 967-2307 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

Another provider at this address

Marc Badros Morcos, PHARMACISTPharmacist Tempe, AZ NPI 1396167714

Other community/retail pharmacy providers in Tempe

See all in Tempe →

NPI record

NPI: 1093055147
Entity type: Organization (Type 2)
Issued: Feb 27, 2013
Last updated: Feb 27, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Pharmacy 10-4060 · doing business as

Authorized official

Deb Lauver
Specialist Plan Enrollment
(479) 204-8741

Verify this record

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 1093055147

Wal-Mart Stores, Inc's National Provider Identifier is 1093055147, issued on Feb 27, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tempe, AZ. The record was last updated on Feb 27, 2013.