Wal-Mart Stores East LP
NPI #1497145031 in Interlachen, Florida
Provider Information
- NPI Number
- 1497145031
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 4, 2015
- Last Updated
- Oct 20, 2015
Practice Location
- Address
- 1113 STATE ROAD 20
- City
- Interlachen
- State
- Florida
- ZIP Code
- 32148-5406
- Phone
- (386) 684-9354
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIRECTOR
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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