Wal-mart Stores East Lp

NPI 1366469785

Information of Wal-mart Stores East Lp

The NPI 1366469785 is an Organization type. NPI No 1366469785 belongs to Wal-mart Stores East Lp. Wal-mart Stores East Lp specializes in Durable Medical Equipment & Medical Supplies. is practising at 1851 Highway 192 W, London, Kentucky 40741. You can also contact him via phone number (606) 878-6143.

Practice address located

  • 1851 Highway 192 W
  • London, Kentucky 40741
  • (606) 878-6143
  • (606) 878-6143

Mailling address located

  • 702 Sw 8th St
  • Bentonville, Arkansas 72716
  • Not available
  • Not available
Wal-mart Stores East Lp is PECOS enrolled.
NPI No 1366469785
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No332B00000XDurable Medical Equipment & Medical Suppliesn/an/a
No333600000XPharmacyn/an/a
Yes3336C0003XCommunity/Retail PharmacyPO2043Kentucky
Identifier for this provider
StateIdentifierTypeIssuer
KY5402233000Medicaidn/a
KY5400659800Medicaidn/a
n/a2030692OtherPK
n/a4355050483Medicare NSCn/a
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