Wal-Mart Stores East LP

NPI #1134478332 in Menomonee Falls, Wisconsin

Provider Information

NPI Number
1134478332
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 4, 2012
Last Updated
Mar 26, 2014

Practice Location

Address
N88W15559 MAIN ST
ZIP Code
53051-3156
Phone
(262) 509-5708

Authorized Official

Name
LAURA LEVINE
Title
MGR OF GOVERNMENT CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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