Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Wauwatosa, WI

NPI number 1962768382 Active

Practice location

3850 N 124th St
Wauwatosa, WI 53222-2104

Call (414) 203-4367 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	9127-42 (WI)

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 …

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NPI record

NPI: 1962768382
Entity type: Organization (Type 2)
Issued: Apr 10, 2012
Last updated: Mar 26, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Pharmacy 10-3030 · doing business as

Authorized official

Laura Levine
MGR of Government Contracting
(479) 204-8550

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 1962768382

Wal-Mart Stores East LP's National Provider Identifier is 1962768382, issued on Apr 10, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 26, 2014.