Wal-Mart Stores East LP

NPI #1679590772 in Ada, Oklahoma

Provider Information

NPI Number
1679590772
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
1419 N COUNTRY CLUB RD
City
Ada
ZIP Code
74820-1836
Phone
(580) 332-4755

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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