WAL-MART STORES EAST LP NPI 1760933196

NPI Information

WAL-MART STORES EAST, LP is a pharmacy in Myrtle Beach, SC. The provider is 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. WAL-MART STORES EAST, LP NPI is 1760933196. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-5367.

The provider's business location address is:

1705 S KINGS HWY
MYRTLE BEACH, SC
ZIP 29577-601
Phone: (843) 353-5640
Fax: (843) 353-5639

The provider's authorized official is Laura Levine .
The authorized official title is Dir Healthcare Contract & Equipment and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 3/17/2017.

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:

Other Identifiers

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

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