WAL-MART PHARMACY 10-3030
NPI 1962768382
Pharmacy - Community/Retail Pharmacy in Wauwatosa, WI

Active since April 10, 2012
3850 N 124TH ST, WAUWATOSA, WI 53222(414) 203-4367 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wal-mart Pharmacy 10-3030 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART PHARMACY 10-3030 (NPI 1962768382) is a healthcare organization registered as a community/retail pharmacy in Wauwatosa, Wisconsin and active in the NPI registry since April 2012. The organization lists Laura Levine, Mgr Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1962768382
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address3850 N 124TH STWauwatosa, WI 53222-2104
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-1238 · Fax (479) 277-4331
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialLaura LevineMgr Of Government Contracting · (479) 204-8550
Enumeration DateApril 10, 2012
Last NPPES UpdateMarch 26, 2014
NPI 1962768382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WI · 9127-42
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3850 N 124TH ST, Wauwatosa, WI 53222

Other Names 1

Doing Business AsWal-mart Pharmacy 10-3030

Other Identifiers 2

Other2134721Pk
Medicare NSC4355052483

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962768382, enumerated as an "organization" on April 10, 2012.

The provider is located at 3850 N 124TH ST WAUWATOSA, WI 53222 and the phone number is (414) 203-4367.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.