WALMART PHARMACY #1070 NPI 1629480298

NPI Information

NPI: 1629480298
Provider Name: WALMART PHARMACY #1070
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 11D2175395

Address:
88 HIGHLAND XING
EAST ELLIJAY, GA
ZIP 30540
Phone: (706) 276-1180
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WALMART PHARMACY #1070 is a community health clinic center in East Ellijay, GA. WALMART PHARMACY #1070 NPI is 1629480298. The provider is registered as an organization entity type.

The provider's business location address is:

88 HIGHLAND XING
EAST ELLIJAY, GA
ZIP 30540-052
Phone: (706) 276-1180

The provider's authorized official is Robyn Carter .
The authorized official title is Staff Pharmacist and has the following contact phone number (706) 502-2374.

The CLIA number assigned to this NPI record is 11D2175395 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.

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	12398	GEORGIA	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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