Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Sikeston, MO. Organization (NPI-2).
NPI number1245257567
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1245257567
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2002009525 | MO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-0009 (Doing Business As)
Practice location
1303 S Main StSikeston, MO 63801-9360
Phone 573-471-6775
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Matthew McMullin
Director, Contracting
4793718711
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All 7 Community/Retail Pharmacy providers in Sikeston · All 692 providers in Sikeston
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