Wal-Mart Stores East LP

NPI #1508883737 in Ithaca, New York

Provider Information

NPI Number
1508883737
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Feb 20, 2017

Practice Location

Address
135 FAIRGROUNDS MEMORIAL PKWY
City
Ithaca
ZIP Code
14850-5362
Phone
(607) 277-8126

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

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

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