WAL-MART PHARMACY STORE 3422 NPI 1093086019

NPI Information

NPI: 1093086019
Provider Name: WAL-MART PHARMACY STORE 3422
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
2000 CLEMENTS BRIDGE RD
DEPTFORD, NJ
ZIP 08096
Phone: (856) 384-6740
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WAL-MART PHARMACY STORE 3422 is a community health clinic center in Deptford, NJ. WAL-MART PHARMACY STORE 3422 NPI is 1093086019. The provider is registered as an organization entity type.

The provider's business location address is:

2000 CLEMENTS BRIDGE RD
DEPTFORD, NJ
ZIP 08096-016
Phone: (856) 384-6740
Fax: (856) 384-6742

The provider's authorized official is Huahua Shi .
The authorized official title is Pharmacy Manager and has the following contact phone number (856) 384-6740.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 1/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	28R103317000	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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