Wal-Mart Stores East LP

NPI #1629477096 in Grant, Alabama

Provider Information

NPI Number
1629477096
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 21, 2014
Last Updated
Jan 8, 2015

Practice Location

Address
3530 CATHEDRAL CAVERNS HWY
City
Grant
State
Alabama
ZIP Code
35747-9268
Phone
(256) 728-4018

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACT & ENRO
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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