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Wal-mart Stores East Lp
Community/Retail Pharmacy in Kosciusko, Mississippi
NPI 1720006257

Wal-mart Stores East Lp is a Community/Retail Pharmacy based in Bentonville, MS and is specialized in Community/Retail Pharmacy. Wal-mart Stores East Lp practices in Kosciusko, MS. The NPI Number for Wal-mart Stores East Lp is 1720006257 and holds a License No. (Mississippi).

The current practice location address for Wal-mart Stores East Lp is 220 Veterans Memorial Dr, Kosciusko, MS and can be reached out via phone at 662-289-4593.

Location: 220 Veterans Memorial Dr, Kosciusko, MS, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720006257
Provider Name
Wal-mart Stores East Lp
Credential
Provider Entity Type
Organization
Address
220 Veterans Memorial Dr, Kosciusko, MS, 72716-0445
Phone Number
662-289-4593
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2045796 01 PK
7839727 05 MS
00920722 05 MS
07839727 05 MS
institution
Provider Business Practice Location Address Details
Address
220 Veterans Memorial Dr
City
Kosciusko
State
Mississippi
Zip
39090-3848
Phone Number
662-289-4593
Fax Number
person
Provider Business Mailing Address Details
Address
220 Veterans Memorial Dr
City
Kosciusko
State
Mississippi
Zip
39090-3848
Phone Number
662-289-4593
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
04110 (Mississippi)
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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