Wal-Mart Stores East, Lp

Specialty details in registry · Spring Hill, FL

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At a glance

161 Mariner Blvd, Spring Hill, FL 34609-5625

NPPES record updated Aug 7, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

161 Mariner Blvd
Spring Hill, FL 34609-5625

Professional details: NPI, taxonomy & registry record

NPI1639093016

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 333600000X
Enumeration date: Aug 7, 2026
Record updated: Aug 7, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

333600000X · Primary

Specialty details in registry

3336C0003X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

161 Mariner Blvd
Spring Hill, FL 34609-5625

Phone: (352) 610-5733
Fax: (352) 610-5722

Mailing address

1 CUSTOMER DR # MS 0445

BENTONVILLE, AR 727160445

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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