Wal-Mart Stores East LP

NPI #1275934283 in Stroud, Oklahoma

Provider Information

NPI Number
1275934283
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 9, 2014
Last Updated
Apr 8, 2015

Practice Location

Address
1600 W HIGHWAY 66
City
Stroud
ZIP Code
74079-2804
Phone
(918) 968-4049

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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