Wal-Mart Stores East Lp in De Soto - Community/retail Pharmacy
Wal-Mart Stores East Lp - NPI 1467470963
Wal-Mart Stores East Lp is a Community/retail Pharmacy in De Soto, Missouri. 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 1467470963. The last update date is 2023-12-01.
Wal-Mart Stores East Lp's current location address is 12862 State Route 21, De Soto, Missouri. You can contact this provider via phone number 6365869666. The mailing address for Wal-Mart Stores East Lp is 12862 State Route 21, De Soto, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wal-Mart Stores East Lp |
|---|---|
| Address | 12862 State Route 21, De Soto, Missouri |
| Phone Number | 6365869666 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | Mcmullin Matthew |
| Telephone Number | 4793718711 |
NPI Number Detail
| NPI Number | 1467470963 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2023-12-01 |
Provider Mailing Address Detail
| Address | 12862 State Route 21 |
|---|---|
| City | De Soto |
| State | Missouri (MO) |
| Post Code | 630204742 |
| Phone Number | 6365869666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2002009218 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2047591 | PK | ||
| 608878708 | MO | -- |
Post Comment/ Review Below
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) 1467470963. 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 provide the complete physical location address of Wal-Mart Stores East Lp?
The Wal-Mart Stores East Lp is physically situated at 12862 State Route 21, in the city of De Soto, state of MO, with the postal code 630204742.
What is the area of specialization for Wal-Mart Stores East Lp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wal-Mart Stores East Lp is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467470963 to Wal-Mart Stores East Lp?
The Wal-Mart Stores East Lp received its 1467470963 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date was the information pertaining to Wal-Mart Stores East Lp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wal-Mart Stores East Lp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-12-01.
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