| Walmart | |
|
800 E Southern Ave Tempe AZ 85282-5225 | |
| (480) 966-2791 | |
| Not Available |
| Full Name | Walmart |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 800 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Scott Michael Derner (PHARMACIST) |
| Authorized Official Contact | 9413306147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart 4215 N Drinkwater Blvd Apt. 305 Scottsdale AZ 85251-3930 Ph: (941) 330-6147 | Walmart 800 E Southern Ave Tempe AZ 85282-5225 Ph: (480) 966-2791 |
| NPI Number | 1871989087 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871989087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | S021138 (Arizona) | Primary |
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