# WAL-MART STORES EAST , LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart Pharmacy 10-3745
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235532045
- **Authorized official:** MATTHEW MCMULLIN (DIRECTOR)
- **Authorized official phone:** (479) 371-8711

## Contact information

- **Practice address:** 1840 MCKEEN PL, MONROE, LA 71201-4465
- **Practice address phone:** (318) 267-3617
- **Practice address fax:** (318) 267-3618
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **Mailing address phone:** (479) 204-8550
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.007035-RC | LA | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 05/30/2024