Wal-Mart Stores East LP

NPI #1881611143 in Homer, Louisiana

Provider Information

NPI Number
1881611143
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
906 W MAIN ST
City
Homer
ZIP Code
71040-3328
Phone
(318) 927-9055

Authorized Official

Name
DIANNA PAINTER
Title
NEW STORE SYS ENROLLMENT
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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Provider Name
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