WAL-MART STORES EAST LP
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1164449203- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4600 E MAIN ST, FARMINGTON, NM, 874028603
- Phone
- (505) 326-1197
Specialties & Taxonomies
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: NM #PH00001255