Wal-Mart Stores East LP

NPI #1063439131 in Beaver Dam, Wisconsin

Provider Information

NPI Number
1063439131
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Aug 23, 2023

Practice Location

Address
120 FRANCES LN
ZIP Code
53916-1165
Phone
(920) 885-5808

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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