Wal-Mart Stores East LP

NPI #1295139939 in Watonga, Oklahoma

Provider Information

NPI Number
1295139939
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 9, 2014
Last Updated
Dec 22, 2015

Practice Location

Address
812 N CLARENCE NASH BLVD
ZIP Code
73772-2024
Phone
(580) 623-5950

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR OF HEALTHCARE CONTRAC
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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