Wal-Mart Stores East Lp Valid NPI
Organization · Community/Retail Pharmacy · Riverdale, GA
- NPI
- 1104843432
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- PHRE007379 (GA)
- Enumerated
- 2006-07-16
- Last updated
- 2025-06-04
Practice location
7050 Highway 85
Riverdale, GA 30274-2981
(770) 994-0657