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Wal-mart Stores East Lp
Community/Retail Pharmacy in Jacksonville, Florida
NPI 1093194938

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, FL and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Jacksonville, FL. The NPI Number for Wal-mart Stores East Lp is 1093194938 and holds a License No. (Florida).

The current practice location address for Wal-mart Stores East Lp is 1650 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-680-3232 and via fax at 904-380-3233.

Location: 1650 San Pablo Rd S, Jacksonville, FL, 72716-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093194938
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
1650 San Pablo Rd S, Jacksonville, FL, 72716-6209
Phone Number
904-680-3232
Fax Number
904-380-3233
Provider Enumeration Date
05/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2152241 01 PK
015983900 05 FL
015983901 DME 05 FL
institution
Provider Business Practice Location Address Details
Address
1650 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1036
Phone Number
904-680-3232
Fax Number
904-380-3233
person
Provider Business Mailing Address Details
Address
1650 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1036
Phone Number
904-680-3232
Fax Number
904-380-3233
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH29484 (Florida)
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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