Wal-Mart Stores East LP
NPI #1710904867 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1710904867
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Apr 15, 2024
Practice Location
- Address
- 377 N ROLLING MEADOWS DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-9726
- Phone
- (920) 921-9591
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 - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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