Wal-Mart Stores East LP

NPI #1437176757 in Benton, Kentucky

Provider Information

NPI Number
1437176757
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Dec 1, 2023

Practice Location

Address
310 W 5TH ST
City
Benton
ZIP Code
42025-1102
Phone
(270) 527-3597

Authorized Official

Name
MATTHEW MCMULLIN
Title
DIRECTOR, CONTRACTING
Phone
(479) 371-8711

Specialties & Taxonomy Codes

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

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