# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALMART STORES INC
- **Other names:** Wal Mart Pharmacies 10-1725
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376560557
- **Legal business name:** WALMART STORES INC
- **Authorized official:** ROBERT CHOAT (NEW STORE SYS ENROLLMENT)
- **Authorized official phone:** (179) 273-4885

## Contact information

- **Practice address:** 5331 SALEM AVE, WAL MART PHARMACIES 10-1725, TROTWOOD, OH 45426-1625
- **Practice address phone:** (937) 837-5240
- **Practice address fax:** (937) 854-3078
- **Mailing address:** MAILSTOP 0445, BENTONVILLE, AR 72716-6209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 2680500 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 12/28/2009