# WAL-MART STORES EAST, LP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walmart pharmacy 10-3164
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801663265
- **Authorized official:** MICHELE GARVEY (DIRECTOR OF HEALTH CARE CONTRACTING)
- **Authorized official phone:** (479) 277-2611

## Contact information

- **Practice address:** 900 COMMERCE BLVD, DICKSON CITY, PA 18519-1767
- **Practice address phone:** (570) 383-9358
- **Practice address fax:** (570) 383-1205
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **Mailing address phone:** (479) 258-2115
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2023
- **Last updated:** 12/06/2023