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NPI Code Detail

MEDICARE: WALMART

MEDICARE: WALMART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy121801MN

General Provider Information

NPI Number : 1225402571
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALMART
Provider Business Mailing Address
First Line : 7295 GLORY RD
Second Line :
City : BAXTER
State : MN
Zip : 56425-7308
Country : US
Telephone Number : 218-829-5510
Fax Number :
Provider Business Practice Location Address
First Line : 7295 GLORY RD
Second Line :
City : BAXTER
State : MN
Zip : 56425-7308
Country : US
Telephone Number : 218-829-5510
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : SPENCER PAGE
Credential :
Telephone Number : 218-829-5510
Provider Enumeration Date : 11/24/2015
Last Update Date : 11/24/2015

Similar Medicare Providers

1174540546 — WALMART INC.
Practice Location Address:
7295 GLORY RD
BAXTER, MN
56425-7308
Practice Phone: 218-829-5510
Practice Fax:
1669485991 — WAL-MART STORES, INC.
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1578830410 — PREFERRED EYECARE, INC.
Practice Location Address:
7295 GLORY RD , WALMART VISION CENTER 1654
BAXTER, MN
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Practice Fax:
1497129753 — DR. CHRISTOPHER BALL PHARM.D.
Practice Location Address:
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BAXTER, MN
56425-7308
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Practice Fax: 218-825-9141
1952909509 — CAROLEE GAYE RICHARDS POMPLUN
Practice Location Address:
7295 GLORY RD
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56425-7308
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Practice Fax:

Directions to “WALMART ” Practice Location

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