Organization
WAL-MART STORES EAST , LP
Active
Other names
Walmart Pharmacy 10-7601
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SR. DIRECTOR)
(479) 277-2611
Entity
Organization
Contact information
Practice address
835 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-3644
(404) 460-2706
(404) 460-2707
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(470) 202-9925
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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