# WAL-MART STORES EAST , LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WAL-MART PHARMACY 10-2660
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740207059
- **Authorized official:** MATTHEW MCMULLIN (DIRECTOR)
- **Authorized official phone:** (479) 371-8711

## Contact information

- **Practice address:** 72 MAIN ST, NORTH READING, MA 01864-2289
- **Practice address phone:** (978) 664-3207
- **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 | CS2853 | MA | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 05/28/2024