Whalio Doctors

NPI 1235156555

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Poplar Bluff, MO

Practice location

Address
333 S Westwood Blvd, Poplar Bluff, MO 63901-5519
Phone
(573) 686-6539
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 2002009473 (MO)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1235156555
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.