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Organization

WAL-MART STORES EAST, LP

Active
Other names
Wal-Mart Pharmacy 10-4216
Organization subpart
No

Provider details

NPI number
Authorized official
KARI BAKER (PHARMACY LICENSING SUPERVISOR)
(479) 273-6874
Entity
Organization

Contact information

Practice address
2025 MERCHANT MILE, COLUMBUS, IN 47201
(812) 376-9385
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0230
(479) 273-6874

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
03/14/2007
Last updated
08/22/2020
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