Wal-Mart Stores East LP
NPI #1083631402 in Fulton, Mississippi
Provider Information
- NPI Number
- 1083631402
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 100 INTERCHANGE DR
- City
- Fulton
- State
- Mississippi
- ZIP Code
- 38843-6010
- Phone
- (662) 862-5284
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 Pharmacy — Community/Retail Pharmacy |
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