# WAL-MART STORES EAST , LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart Pharmacy 10-7601
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033960406
- **Authorized official:** MICHELE GARVEY (SR. DIRECTOR)
- **Authorized official phone:** (479) 277-2611

## Contact information

- **Practice address:** 835 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-3644
- **Practice address phone:** (404) 460-2706
- **Practice address fax:** (404) 460-2707
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **Mailing address phone:** (470) 202-9925
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024