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Wal-mart Stores East, Lp
Community/Retail Pharmacy in Edgewood, New Mexico
NPI 1477735108

Wal-mart Stores East, Lp is a Community/Retail Pharmacy based in Bentonville, NM and is specialized in Community/Retail Pharmacy. Wal-mart Stores East, Lp practices in Edgewood, NM. The NPI Number for Wal-mart Stores East, Lp is 1477735108 and holds a License No. (New Mexico).

The current practice location address for Wal-mart Stores East, Lp is 66 State Road 344, Edgewood, NM and can be reached out via phone at 505-286-3053.

Location: 66 State Road 344, Edgewood, NM, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477735108
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
66 State Road 344, Edgewood, NM, 72716-0445
Phone Number
505-286-3053
Fax Number
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2059070 01 PK
23007826 05 NM
institution
Provider Business Practice Location Address Details
Address
66 State Road 344
City
Edgewood
State
New Mexico
Zip
87015-6849
Phone Number
505-286-3053
Fax Number
person
Provider Business Mailing Address Details
Address
66 State Road 344
City
Edgewood
State
New Mexico
Zip
87015-6849
Phone Number
505-286-3053
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH00003003 (New Mexico)
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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