Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-1540
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
201 73RD ST, SOUTH HAVEN, MI 49090-7907
(269) 637-7802
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041026
PK
—
05
—
2347385
—
MI
Enumeration date
07/16/2006
Last updated
08/30/2023
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