WAL-MART STORES EAST LP

Pharmacy - Community/Retail Pharmacy

Active Organization
NPI: 1205079100

Practice Address

401 SUPERCENTER DR
Jefferson City, MO 65101

Phone: (573) 635-3877

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 2009013741 (MO)

Frequently Asked Questions

NPI 1205079100 is the National Provider Identifier for WAL-MART STORES EAST LP, a Pharmacy - Community/Retail Pharmacy provider located in Jefferson City, MO. This NPI was enumerated on April 8, 2009.

Quick Facts

NPI
1205079100
Type
Organization
Enumerated
Apr 8, 2009
Last Updated
Jun 13, 2025