Whalio Doctors

NPI 1023035136

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Tahlequah, OK

Practice location

Address
2020 S Muskogee Ave, Tahlequah, OK 74464-5439
Phone
(918) 456-2437
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name
Matthew McMullin
Title
Director, Contracting
Phone
(479) 371-8711

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 364199 (OK)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1023035136
Entity type
Organization
NPI issued
16 Jul 2006
Record last updated
6 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.