Wal-Mart Stores East LP
NPI #1609893759 in Portales, New Mexico
Provider Information
- NPI Number
- 1609893759
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 1604 E SPRUCE ST
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-9489
- Phone
- (575) 359-3435
Authorized Official
- Name
- SARAH LITTLE
- Title
- DIRECTOR OF HEALTHCARE CONTRACTING
- Phone
- (479) 277-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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