Wal-Mart Stores East LP
NPI #1790702199 in Philadelphia, Mississippi
Provider Information
- NPI Number
- 1790702199
- 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
- 1002 W BEACON ST
- City
- Philadelphia
- State
- Mississippi
- ZIP Code
- 39350-3204
- Phone
- (601) 656-5310
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 Pharmacy — Community/Retail Pharmacy |
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