Wal-Mart Stores East LP
NPI #1871510123 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1871510123
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 2100 N MAIN AVE
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-2438
- Phone
- (417) 926-4129
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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