Organization · Type 2 NPI

Wal-Mart Stores East , LP

Community/Retail Pharmacy · Corry, PA

NPI number 1386662153 Active

Practice location

961 E Columbus Ave
Corry, PA 16407-9163

Call (814) 663-7065 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PP481128 (PA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

Other community/retail pharmacy providers in Corry

Rite Aid of Pennsylvania LLCCommunity/Retail Pharmacy Corry, PA NPI 1477643583

See all in Corry →

NPI record

NPI: 1386662153
Entity type: Organization (Type 2)
Issued: Jul 18, 2006
Last updated: Jun 4, 2024
Status: Active

Other names

<unavail>
Wal-Mart Pharmacy 10-2909 · doing business as
Wal-Mart Pharmacy 10-2909 · doing business as

Authorized official

Matthew McMullin
Director
(479) 371-8711

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386662153

Wal-Mart Stores East , LP's National Provider Identifier is 1386662153, issued on Jul 18, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Corry, PA. The record was last updated on Jun 4, 2024.