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Wal-mart Stores East Lp
Community/Retail Pharmacy in Ithaca, New York
NPI 1508883737

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, NY and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Ithaca, NY. The NPI Number for Wal-mart Stores East Lp is 1508883737 and holds a License No. (New York).

The current practice location address for Wal-mart Stores East Lp is 135 Fairgrounds Memorial Pkwy, Ithaca, NY and can be reached out via phone at 607-277-8126.

Location: 135 Fairgrounds Memorial Pkwy, Ithaca, NY, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508883737
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
135 Fairgrounds Memorial Pkwy, Ithaca, NY, 72716-0445
Phone Number
607-277-8126
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
02654135 05 NY
2063197 01 PK
2654135 05 NY
institution
Provider Business Practice Location Address Details
Address
135 Fairgrounds Memorial Pkwy
City
Ithaca
State
New York
Zip
14850-5362
Phone Number
607-277-8126
Fax Number
person
Provider Business Mailing Address Details
Address
135 Fairgrounds Memorial Pkwy
City
Ithaca
State
New York
Zip
14850-5362
Phone Number
607-277-8126
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
27060 (New York)
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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