Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Trenton, FL. Organization (NPI-2).
NPI number1326432196
StatusActive
Last updated in NPPESAug 21, 2015
Details
- NPI
- 1326432196
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Mar 19, 2015
- Last updated
- Aug 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH29178 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-4265 (Doing Business As)
Practice location
1209 E Wade StTrenton, FL 32693-2772
Phone 352-463-0881
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Phone 479-277-2500 · Fax 479-277-4331
Authorized official
Laura Levine
Dir Healthcare Contract & Enro
4792048550
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