Wal-Mart Stores East Lp

Specialty details in registry · Gurley, AL

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At a glance

6361 Highway 72 East, Gurley, AL 35748

NPPES record updated Feb 2, 2015. 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

6361 Highway 72 East
Gurley, AL 35748
Professional details: NPI, taxonomy & registry record
NPI1730588104
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0003X
Enumeration date
Aug 21, 2014
Record updated
Feb 2, 2015
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

3336C0003X · Primary

License reported: 114431 AL

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

Practice location

6361 Highway 72 East
Gurley, AL 35748
Phone
(256) 776-4404
Fax
(479) 277-4331
Mailing address
702 SW 8TH ST
MAILSTOP 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Information may be outdated or incomplete.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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