# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart Pharmacy 10-3167
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235543091
- **Authorized official:** SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
- **Authorized official phone:** (479) 277-2500

## Contact information

- **Practice address:** 4301 CHEF MENTEUR HWY, NEW ORLEANS, LA 70126-4919
- **Practice address phone:** (504) 434-6078
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-6209
- **Mailing address phone:** (479) 204-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006923-RC | LA | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 08/30/2023
