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Organization
WAL-MART STORES EAST LP
Active
Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-4581
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2500 DAWES RD, MOBILE, AL 36695-9050
(251) 633-6509
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113053
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427234871
—
AL
05
—
1427234871 DME
—
AL
01
—
1996246
PK
—
Enumeration date
01/16/2008
Last updated
08/29/2023
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