Wal-Mart Stores East LP

NPI #1972520278 in Live Oak, Florida

Provider Information

NPI Number
1972520278
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Aug 23, 2023

Practice Location

Address
6868 US HIGHWAY 129
State
Florida
ZIP Code
32060-8476
Phone
(386) 330-2399

Authorized Official

Name
MATT MCMULLIN
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 371-8711

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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