| Walmart | |
|
11500 Hannon Rd Eagle Point OR 97524-9598 | |
| (541) 826-2670 | |
| Not Available |
| Full Name | Walmart |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11500 Hannon Rd, Eagle Point, Oregon |
| Authorized Official Name and Position | Erika Leigh Thompson (PHARMACIST) |
| Authorized Official Contact | 5418639391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart 11500 Hannon Rd Eagle Point OR 97524-9598 Ph: (541) 826-2670 | Walmart 11500 Hannon Rd Eagle Point OR 97524-9598 Ph: (541) 826-2670 |
| NPI Number | 1396107504 |
|---|---|
| Provider Enumeration Date | 03/26/2016 |
| Last Update Date | 03/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396107504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0014829 (Oregon) | Primary |
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