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Organization
WAL-MART STORES EAST, LP
Active
Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WALMART STORES EAST, LP
Other names
Walmart Pharmacy 10-2586
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALMART STORES EAST, LP
Authorized official
LAURA LEVINE (DIR HEALTHCARE CONTRACTING & ENROLL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
2500 WALDEN AVE, CHEEKTOWAGA, NY 14225-4738
(716) 896-3708
(716) 896-3747
Mailing address
702 SW 8TH ST, MS 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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