Wal-Mart Stores East LP

NPI #1497773188 in Purcell, Oklahoma

Provider Information

NPI Number
1497773188
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Dec 1, 2023

Practice Location

Address
2015 S GREEN AVE
ZIP Code
73080-6200
Phone
(405) 527-7396

Authorized Official

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

Specialties & Taxonomy Codes

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

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