Wal-Mart Stores East LP
NPI #1104843572 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1104843572
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 10420 MAYSVILLE RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46835-9762
- Phone
- (260) 492-5799
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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