Wal-Mart Stores East LP
NPI #1932200912 in Port Allen, Louisiana
Provider Information
- NPI Number
- 1932200912
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 3255 LA HIGHWAY 1 S
- City
- Port Allen
- State
- Louisiana
- ZIP Code
- 70767-5858
- Phone
- (225) 749-7454
Authorized Official
- Name
- RANDY WRIGHT
- Title
- PHY ENROLLMENT SPECIALIST
- Phone
- (479) 273-6574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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| Wal-Mart Stores East LP | AI Deep Dive |
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