Wal-Mart Stores East LP

NPI #1326432196 in Trenton, Florida

Provider Information

NPI Number
1326432196
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 19, 2015
Last Updated
Aug 21, 2015

Practice Location

Address
1209 E WADE ST
State
Florida
ZIP Code
32693-2772
Phone
(352) 463-0881

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACT & ENRO
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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