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WAL-MART STORES EAST LP NPI 1962950287


NPI Information

NPI: 1962950287
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-7326

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 37D2153746

Address:
3301 SW 104TH ST
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 300-6572
Get Directions

WAL-MART STORES EAST LP is a pharmacy in Oklahoma City, OK. 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 1962950287. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-7326.

The provider's business location address is:

3301 SW 104TH ST
OKLAHOMA CITY, OK
ZIP 73159-043
Phone: (405) 300-6572
Fax: (405) 300-6582

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 CLIA number assigned to this NPI record is 37D2153746 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 2/16/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy7-7692OKLAHOMAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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
12164173OTHERPK

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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