Medicare Supplier WAL-MART STORES EAST LP Details

Globally Unique Supplier Identifier: 20494097

medicare equipment supplier status:  active since 2014-07-01

Supplier: WAL-MART STORES EAST LP

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20494097
Globally Unique Supplier Identifier
Company Name WAL-MART STORES EAST LP
Supplier Company Name
Doing Business As (DBA) WALMART PHARMACH 10-5166
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2014-07-01
Participation Begin Date
Address Line 1021 E PINE ST
Delivery Address Line
City DEMING
Business Address City
State NM
Business Address State
Zip 88030-7009
Business Address Zip
Phone Number 505-546-6746
Business Phone Number
Specialities List
  • Optician
  • Pharmacy
Specialities List
Product Category Name(s)
  • Blood Glucose Monitors/Supplies (Mail Order)
  • Blood Glucose Monitors/Supplies (Non-Mail Order)
  • Enteral Nutrients
  • Epoetin
  • Immunosuppressive Drugs
  • Infusion Drugs
  • Nebulizer Drugs
  • Oral Anticancer Drugs
  • Oral Antiemetic Drugs
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 32.26925
Business Practice Latitude
Longitude -107.74949
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

Directions to the ❝WAL-MART STORES EAST LP❞ location

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