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WAL-MART STORES EAST LP NPI 1790966307


NPI Information

NPI: 1790966307
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-5321

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
9131 COLLEGE PKWY
FORT MYERS, FL
ZIP 33919
Phone: (239) 267-2032
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WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Fort Myers, FL. 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 1790966307. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-5321.

The provider's business location address is:

9131 COLLEGE PKWY
FORT MYERS, FL
ZIP 33919-818
Phone: (239) 267-2032
Fax: (479) 277-4331

The provider's authorized official is Sarah Little .
The authorized official title is Director Of Healthcare Contracting and has the following contact phone number (479) 277-2500.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 7/19/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPH23128FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1032572400MEDICAIDFLORIDA
2032572401MEDICAIDFLORIDA
32010344OTHERPK

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: 11/14/2023

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