# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart Pharmacy 10-2919
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265835946
- **Authorized official:** SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
- **Authorized official phone:** (479) 277-2500

## Contact information

- **Practice address:** 4430 DESIARD ST, MONROE, LA 71203-4532
- **Practice address phone:** (318) 267-3609
- **Practice address fax:** (318) 267-3610
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **Mailing address phone:** (479) 277-2500
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.007034-RC | LA | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 08/23/2023