Wal-Mart Stores East LP

NPI #1457753576 in Prague, Oklahoma

Provider Information

NPI Number
1457753576
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 19, 2014
Last Updated
Dec 23, 2015

Practice Location

Address
2310 W MAIN ST
City
Prague
ZIP Code
74864-9537
Phone
(405) 567-0410

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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