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Organization
WAL-MART STORES EAST, LP.
Active
Organization
WAL-MART STORES EAST, LP.
Active
Other names
Walmart pharmacy 10-3164
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2611
Entity
Organization
Contact information
Practice address
761 AIRPORT RD, HAZLE TOWNSHIP, PA 18202-3308
(570) 454-6051
(570) 454-3984
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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