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Wal-mart Stores East Lp
Community/Retail Pharmacy in Derma, Mississippi
NPI 1043611452

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 Derma, MS. The NPI Number for Wal-mart Stores East Lp is 1043611452 and holds a License No. (Mississippi).

The current practice location address for Wal-mart Stores East Lp is 516 W Veterans Blvd, Derma, MS and can be reached out via phone at 662-628-5100 and via fax at 662-628-5102.

Location: 516 W Veterans Blvd, Derma, MS, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043611452
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
516 W Veterans Blvd, Derma, MS, 72716-0445
Phone Number
662-628-5100
Fax Number
662-628-5102
Provider Enumeration Date
09/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2149228 01 PK
08156073 05 MS
institution
Provider Business Practice Location Address Details
Address
516 W Veterans Blvd
City
Derma
State
Mississippi
Zip
38839
Phone Number
662-628-5100
Fax Number
662-628-5102
person
Provider Business Mailing Address Details
Address
516 W Veterans Blvd
City
Derma
State
Mississippi
Zip
38839
Phone Number
662-628-5100
Fax Number
662-628-5102
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
13634/1.2 (Mississippi)
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
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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