Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1043611452

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Derma, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in: MS
In the registry since: 2014
Specialties on file: 2

What do these letters mean?

LP — Limited partnership: A form of business registration, not a clinical qualification.

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Practice location Address checks out

516 W Veterans Blvd
Derma, MS 38839
Phone: (662) 628-5100
Fax: (662) 628-5102

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary)	Taxonomy 3336C0003X · Licence 13634/1.2 (MS)
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X

Record details

NPI number	1043611452
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Laura Levine — Dr. Healthcare & Enrollment · (479) 204-8550
Other names	Walmart Pharmacy 10-4294
NPI enumerated	September 5, 2014
Last updated in NPPES	June 27, 2015
Mailing address	702 Sw 8th St, Bentonville, AR 72716-0445