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Wal-mart Stores East Lp
Community/Retail Pharmacy in Interlachen, Florida
NPI 1497145031

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 Interlachen, FL. The NPI Number for Wal-mart Stores East Lp is 1497145031 and holds a License No. (Florida).

The current practice location address for Wal-mart Stores East Lp is 1113 State Road 20, Interlachen, FL and can be reached out via phone at 386-684-9354 and via fax at 386-684-9780.

Location: 1113 State Road 20, Interlachen, FL, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497145031
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
1113 State Road 20, Interlachen, FL, 72716-0445
Phone Number
386-684-9354
Fax Number
386-684-9780
Provider Enumeration Date
02/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2150122 01 PK
014777500 05 FL
014777501 DME 05 FL
institution
Provider Business Practice Location Address Details
Address
1113 State Road 20
City
Interlachen
State
Florida
Zip
32148-5406
Phone Number
386-684-9354
Fax Number
386-684-9780
person
Provider Business Mailing Address Details
Address
1113 State Road 20
City
Interlachen
State
Florida
Zip
32148-5406
Phone Number
386-684-9354
Fax Number
386-684-9780
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH29037 (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
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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