Wal-Mart Stores East LP

NPI #1790187979 in Mamou, Louisiana

Provider Information

NPI Number
1790187979
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 19, 2014
Last Updated
Dec 28, 2015

Practice Location

Address
1445 OLD HWY 13
City
Mamou
ZIP Code
70554-2100
Phone
(337) 468-4017

Authorized Official

Name
LAURA LEVINE
Title
DIR. HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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