| Wal-mart Pharmacy | |
|
4875 Old York Rd Rock Hill SC 29732-8127 | |
| (803) 323-2091 | |
| Not Available |
| Full Name | Wal-mart Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | 4875 Old York Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Adriana Renee Houston (STAFF PHARMACIST) |
| Authorized Official Contact | 8033813103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wal-mart Pharmacy 4875 Old York Rd Rock Hill SC 29732-8127 Ph: (803) 323-2091 | Wal-mart Pharmacy 4875 Old York Rd Rock Hill SC 29732-8127 Ph: (803) 323-2091 |
| NPI Number | 1982158622 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982158622 | NPI | - | NPPES |
| 36649 | Other | SC | SOUTH CAROLINA PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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