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Wal-mart Stores East Lp
Community/Retail Pharmacy in Fort Wayne, Indiana
NPI 1104843572

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, IN and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Fort Wayne, IN. The NPI Number for Wal-mart Stores East Lp is 1104843572 and holds a License No. (Indiana).

The current practice location address for Wal-mart Stores East Lp is 10420 Maysville Rd, Fort Wayne, IN and can be reached out via phone at 260-492-5799.

Location: 10420 Maysville Rd, Fort Wayne, IN, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104843572
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
10420 Maysville Rd, Fort Wayne, IN, 72716-0445
Phone Number
260-492-5799
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
2024657 01 PK
200442420 05 IN
200442420A 05 IN
institution
Provider Business Practice Location Address Details
Address
10420 Maysville Rd
City
Fort Wayne
State
Indiana
Zip
46835-9762
Phone Number
260-492-5799
Fax Number
person
Provider Business Mailing Address Details
Address
10420 Maysville Rd
City
Fort Wayne
State
Indiana
Zip
46835-9762
Phone Number
260-492-5799
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
60005739A (Indiana)
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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