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Wal-mart Stores East Lp
Community/Retail Pharmacy in Fulton, Mississippi
NPI 1083631402

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 Fulton, MS. The NPI Number for Wal-mart Stores East Lp is 1083631402 and holds a License No. (Mississippi).

The current practice location address for Wal-mart Stores East Lp is 100 Interchange Dr, Fulton, MS and can be reached out via phone at 662-862-5284.

Location: 100 Interchange Dr, Fulton, MS, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083631402
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
100 Interchange Dr, Fulton, MS, 72716-0445
Phone Number
662-862-5284
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4176594 05 MS
04176594 05 MS
2045854 01 PK
institution
Provider Business Practice Location Address Details
Address
100 Interchange Dr
City
Fulton
State
Mississippi
Zip
38843-6010
Phone Number
662-862-5284
Fax Number
person
Provider Business Mailing Address Details
Address
100 Interchange Dr
City
Fulton
State
Mississippi
Zip
38843-6010
Phone Number
662-862-5284
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
04507 (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
-
Taxonomy
333600000X
License No.
()
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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