Wal-mart Pharmacy Store 3422

NPI 1093086019 - Clinic/Center - 261QC1500X

NPI Details
NPI 1093086019
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HUAHUA HUAHUA
Position PHARMACY MANAGER
Phone (856) 384-6740
Fax (856) 384-6742
Practice Location
2000 CLEMENTS BRIDGE RD
DEPTFORD NJ, 08096-2016, US
Phone (856) 384-6740
Fax (856) 384-6742
Business Location
2000 CLEMENTS BRIDGE RD
DEPTFORD NJ, 08096-2016, US
Phone (856) 384-6740
Fax (856) 384-6742
Toxanomy
Taxonomy Code 261QC1500X
License State New Jersey
License Number 28R103317000
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According to our database, Wal-mart Pharmacy Store 3422 NPI is 1093086019, taxonomy code is 261QC1500X and license number is 28R103317000, license state is located at New Jersey. Wal-mart Pharmacy Store 3422 physically located at 2000 Clements Bridge Rd, Deptford NJ, 08096-2016. NPI Number 1033115704 has the healthcare provider type.

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1093086019 NPI number is provided on an as is basis without warranty of any kind. 1093086019 is maintained by the National Plan & Provider Enumeration System. The contents of Wal-mart Pharmacy Store 3422 are for informational purposes only.