WALMART NPI 1871989087

NPI Information

NPI: 1871989087
Provider Name: WALMART
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
800 E SOUTHERN AVE
TEMPE, AZ
ZIP 85282
Phone: (480) 966-2791
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WALMART is a community health clinic center in Tempe, AZ. WALMART NPI is 1871989087. The provider is registered as an organization entity type.

The provider's business location address is:

800 E SOUTHERN AVE
TEMPE, AZ
ZIP 85282-225
Phone: (480) 966-2791

The provider's authorized official is Scott Michael Derner .
The authorized official title is Pharmacist and has the following contact phone number (941) 330-6147.

The CLIA number assigned to this NPI record is 03D2117170 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2015 and was last updated on 4/14/2015.

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	S021138	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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