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Wal-mart Stores East Lp
Community/Retail Pharmacy in Yazoo City, Mississippi
NPI 1023556511

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, MS and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Yazoo City, MS. The NPI Number for Wal-mart Stores East Lp is 1023556511 and holds a License No. (Mississippi).

The current practice location address for Wal-mart Stores East Lp is 2129 Grand Ave, Yazoo City, MS and can be reached out via phone at 662-673-4020 and via fax at 662-673-4031.

Location: 2129 Grand Ave, Yazoo City, MS, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023556511
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
2129 Grand Ave, Yazoo City, MS, 72716-0445
Phone Number
662-673-4020
Fax Number
662-673-4031
Provider Enumeration Date
02/06/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02026858 05 MS
2167848 01 PK
06080204 DME 05 IN
institution
Provider Business Practice Location Address Details
Address
2129 Grand Ave
City
Yazoo City
State
Mississippi
Zip
39194-2312
Phone Number
662-673-4020
Fax Number
662-673-4031
person
Provider Business Mailing Address Details
Address
2129 Grand Ave
City
Yazoo City
State
Mississippi
Zip
39194-2312
Phone Number
662-673-4020
Fax Number
662-673-4031
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
15069/1.2 (Mississippi)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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