Wal-Mart Stores East LP

NPI #1487058129 in Okemah, Oklahoma

Provider Information

NPI Number
1487058129
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 9, 2014
Last Updated
Apr 1, 2015

Practice Location

Address
124 E COLUMBIA ST
City
Okemah
ZIP Code
74859-2801
Phone
(918) 623-9207

Authorized Official

Name
LAURA LEVINE
Title
DR. HEALTHCARE & ENROLLMENT
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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