Organization Name: | WALMART PHARMACY |
NPI Number: | 1548622475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DAWN MORGAN (PHARMACY MANAGER) |
Mailing Address: | 2160 John Wayland Hwy Harrisonburg |
State: | VA US |
Postal Code: | 22801 |
Phone Number: | 5404320552 |
Fax Number: | 5404380883 |
NPI Enumeration Date: | 03/21/2016 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 0202208347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |