# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WALMART PHARMACY 10-0839
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427075761
- **Authorized official:** SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
- **Authorized official phone:** (479) 277-2500

## Contact information

- **Practice address:** 9350 CORTANA PL, BATON ROUGE, LA 70815-8603
- **Practice address phone:** (225) 927-0114
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 4849RC | LA | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/23/2023
