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Wal-mart Stores East Lp
Community/Retail Pharmacy in Jefferson, Wisconsin
NPI 1376700153

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, WI and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Jefferson, WI. The NPI Number for Wal-mart Stores East Lp is 1376700153 and holds a License No. (Wisconsin).

The current practice location address for Wal-mart Stores East Lp is 1520 S Main St, Jefferson, WI and can be reached out via phone at 920-674-2873 and via fax at 920-674-2899.

Location: 1520 S Main St, Jefferson, WI, 72716-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376700153
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
1520 S Main St, Jefferson, WI, 72716-6209
Phone Number
920-674-2873
Fax Number
920-674-2899
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2111112 01 PK
36227900 05 WI
institution
Provider Business Practice Location Address Details
Address
1520 S Main St
City
Jefferson
State
Wisconsin
Zip
53549-2940
Phone Number
920-674-2873
Fax Number
920-674-2899
person
Provider Business Mailing Address Details
Address
1520 S Main St
City
Jefferson
State
Wisconsin
Zip
53549-2940
Phone Number
920-674-2873
Fax Number
920-674-2899
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8843042 (Wisconsin)
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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