Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-3815
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRAC)
(479) 204-8550
Entity
Organization
Contact information
Practice address
501 W HIGHWAY 90, IOWA, LA 70647-7111
(337) 582-4043
(337) 582-4046
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1240
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007031-RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149080
PK
—
05
—
2203452
—
LA
Enumeration date
10/07/2014
Last updated
08/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us