Whalio Doctors

NPI 1699792713

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Blackwell, OK

Practice location

Address
1219 W Doolin Ave, Blackwell, OK 74631-1351
Phone
(580) 363-4090
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 63718 (OK)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1699792713
Entity type
Organization
NPI issued
16 Jul 2006
Record last updated
1 Dec 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.