Wal-Mart Stores INC

NPI #1982621090 in Las Vegas, Nevada

Provider Information

NPI Number
1982621090
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 12, 2013

Practice Location

Address
4350 N NELLIS BLVD
State
Nevada
ZIP Code
89115-2490
Phone
(702) 643-2023

Authorized Official

Name
LAURA LEVINE
Title
MGR OF GOVERNMENT CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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