Organization · Type 2 NPI

Wal-Mart Stores Inc

Community/Retail Pharmacy · Los Angeles, CA

NPI number 1972844405 Active

Practice location

701 W Cesar E Chavez Ave
Los Angeles, CA 90012-2104

Call (213) 337-0182 Map

Fax (213) 337-0174

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY 51215 (CA)

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 …

29 other providers at this address

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NPI record

NPI: 1972844405
Entity type: Organization (Type 2)
Issued: Mar 7, 2013
Last updated: Mar 26, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Pharmacy 10-3086 · doing business as

Authorized official

David Badeen
SR Dir H&w Billing, Recon
(479) 277-2611

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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 1972844405

Wal-Mart Stores Inc's National Provider Identifier is 1972844405, issued on Mar 7, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 26, 2014.