| Walmart | |
|
9600 Parksouth Ct Orlando FL 32837-6424 | |
| (479) 586-3101 | |
| Not Available |
| Full Name | Walmart |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9600 Parksouth Ct, Orlando, Florida |
| Authorized Official Name and Position | Edward Kelly Altman (REGIONAL DIRECTOR) |
| Authorized Official Contact | 4795863101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart 9600 Parksouth Ct Orlando FL 32837-6424 Ph: () - | Walmart 9600 Parksouth Ct Orlando FL 32837-6424 Ph: (479) 586-3101 |
| NPI Number | 1679914261 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679914261 | NPI | - | NPPES |
| PS 50266 | Other | FL | FLORIDA PHARMACIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS 50266 (Florida) | Primary |
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