Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Marshfield, MO. Organization (NPI-2).
NPI number1689692154
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1689692154
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2002009256 | MO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-0078 (Doing Business As)
Practice location
14740 State Highway 38Marshfield, MO 65706-8950
Phone 417-468-6151
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Matthew McMullin
Director, Contracting
4793718711
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Other Community/Retail Pharmacy providers in Marshfield, MO
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All 6 Community/Retail Pharmacy providers in Marshfield · All 176 providers in Marshfield
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