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Wal-mart Stores East Lp
Community/Retail Pharmacy in Pace, Florida
NPI 1124045331

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 Pace, FL. The NPI Number for Wal-mart Stores East Lp is 1124045331 and holds a License No. (Florida).

The current practice location address for Wal-mart Stores East Lp is 4965 Highway 90, Pace, FL and can be reached out via phone at 850-995-5115.

Location: 4965 Highway 90, Pace, FL, 72716-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124045331
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
4965 Highway 90, Pace, FL, 72716-6209
Phone Number
850-995-5115
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
109514500 05 FL
2007891 01 PK
institution
Provider Business Practice Location Address Details
Address
4965 Highway 90
City
Pace
State
Florida
Zip
32571-1408
Phone Number
850-995-5115
Fax Number
person
Provider Business Mailing Address Details
Address
4965 Highway 90
City
Pace
State
Florida
Zip
32571-1408
Phone Number
850-995-5115
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH15369 (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
-
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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