Wal-Mart Stores East LP
NPI #1992722102 in Grandville, Michigan
Provider Information
- NPI Number
- 1992722102
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 4542 KENOWA AVE SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-9523
- Phone
- (616) 667-9713
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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