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Organization
WAL-MART STORES EAST LP
Active
Organization
WAL-MART STORES EAST LP
Active
Other names
Wal-Mart Pharmacy 10-2785
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
441 COMMERCE DR, VICTOR, NY 14564-9644
(585) 742-2577
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03910565
—
NY
01
—
2123561
PK
—
Enumeration date
01/22/2010
Last updated
08/29/2023
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