OrganizationActive
Walmart
NPI 1679955504 · Community Health Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1679955504
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mark Eicher, Pharmacist
- License
- S020800 (AZ)
Practice location
7575 W Lower Buckeye Rd
Phoenix, AZ 85043-3450
Phone: (623) 907-0712
Mailing address
21024 N 56th Ave
Glendale, AZ 85308-6219
Registry dates
- Enumerated
- 2015-06-27
- Last updated
- 2015-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.