Wal-Mart Stores East LP
NPI #1891712212 in Diberville, Mississippi
Provider Information
- NPI Number
- 1891712212
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 3615 SANGANI BLVD
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-8770
- Phone
- (228) 396-4778
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 - Community/Retail Pharmacy — Community/Retail Pharmacy |
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