# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart Pharmacy 10-4683
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346667821
- **Authorized official:** SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
- **Authorized official phone:** (479) 277-2500

## Contact information

- **Practice address:** 10550 BURBANK DR, BATON ROUGE, LA 70810-6468
- **Practice address phone:** (225) 412-5498
- **Practice address fax:** (225) 412-5499
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **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.006899-RC | LA | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 08/29/2023