Wal-Mart Stores East LP

NPI #1689691982 in Cocoa, Florida

Provider Information

NPI Number
1689691982
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Dec 1, 2023

Practice Location

Address
2700 CLEARLAKE RD
City
Cocoa
State
Florida
ZIP Code
32922-5716
Phone
(321) 631-2823

Authorized Official

Name
MATTHEW MCMULLIN
Title
DIRECTOR, CONTRACTING
Phone
(479) 371-8711

Specialties & Taxonomy Codes

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

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