WAL-MART STORES EAST LP NPI 1295139939

NPI Information

NPI: 1295139939
Provider Name: WAL-MART STORES EAST LP
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: WALMART PHARMACY 10-3767
Address: 812 N CLARENCE NASH BLVD
WATONGA, OK
ZIP 73772
Phone: (580) 623-5950

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NPI Details

WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Watonga, OK. The provider is 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. WAL-MART STORES EAST LP NPI is 1295139939. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-3767.

The provider's business location address is:

812 N CLARENCE NASH BLVD
WATONGA, OK
ZIP 73772-024
Phone: (580) 623-5950
Fax: (580) 623-5619

The provider's authorized official is Laura Levine .
The authorized official title is Director Of Healthcare Contrac and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 10/9/2014 and was last updated on 12/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	49-6923	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100800600 B	MEDICAID	OKLAHOMA
2	4355052737	MEDICARE NSC
3	2149146	OTHER		PK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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