Wal-Mart Stores East LP

NPI #1629095799 in West Bend, Wisconsin

Provider Information

NPI Number
1629095799
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Aug 23, 2023

Practice Location

Address
1515 W PARADISE DR
ZIP Code
53095-9794
Phone
(262) 334-9860

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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