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Wal-mart Stores East Lp
Specialty Pharmacy in Portage, Wisconsin
NPI 1265459317

Wal-mart Stores East Lp is a Specialty Pharmacy based in Bentonville, WI and is specialized in Specialty Pharmacy. Wal-mart Stores East Lp practices in Portage, WI. The NPI Number for Wal-mart Stores East Lp is 1265459317 and holds a License No. (Wisconsin).

The current practice location address for Wal-mart Stores East Lp is 2950 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-1670.

Location: 2950 New Pinery Rd, Portage, WI, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265459317
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
2950 New Pinery Rd, Portage, WI, 72716-0445
Phone Number
608-742-1670
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2115251 01 PK
33186800 05 WI
institution
Provider Business Practice Location Address Details
Address
2950 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9225
Phone Number
608-742-1670
Fax Number
person
Provider Business Mailing Address Details
Address
2950 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9225
Phone Number
608-742-1670
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
8184-42 (Wisconsin)
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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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