Wal-Mart Stores East Lp in Beaver Dam - Community/retail Pharmacy

Wal-Mart Stores East Lp - NPI 1063439131

Wal-Mart Stores East Lp is a Community/retail Pharmacy in Beaver Dam, Wisconsin. Wal-Mart Stores East Lp practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Wal-Mart Stores East Lp is 1063439131. The last update date is 2023-08-23.

Wal-Mart Stores East Lp's current location address is 120 Frances Ln, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208855808 and fax number 9208855908. The mailing address for Wal-Mart Stores East Lp is 120 Frances Ln, Beaver Dam, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wal-Mart Stores East Lp
Address 120 Frances Ln, Beaver Dam, Wisconsin
Phone Number 9208855808
Fax Number 9208855908
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Little Sarah
Telephone Number 4792772500

NPI Number Detail

NPI Number 1063439131
Provider Enumeration Date 2006-07-16
Last Updated Date 2023-08-23

Provider Mailing Address Detail

Address 120 Frances Ln
City Beaver Dam
State Wisconsin (WI)
Post Code 539161165
Phone Number 9208855808
Fax Number 9208855908

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 8417-42
Definition:
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2110165 PK
33276900 WI --

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FAQs about Wal-Mart Stores East Lp

What is the unique identifier code issued to Wal-Mart Stores East Lp by the Centers for Medicare & Medicaid Services?

The Wal-Mart Stores East Lp has been assigned the NPI (National Provider Identifier) 1063439131. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Wal-Mart Stores East Lp's facilities are situated?

The facilities of Wal-Mart Stores East Lp are physically located at the following address: 120 Frances Ln, Beaver Dam, WI, 539161165.

What is Wal-Mart Stores East Lp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wal-Mart Stores East Lp is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

On what date did Wal-Mart Stores East Lp receive its 1063439131 assignment from the Centers for Medicare & Medicaid Services?

The Wal-Mart Stores East Lp was assigned its 1063439131 on 2006-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Wal-Mart Stores East Lp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wal-Mart Stores East Lp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-23.

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