Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-0123
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR, CONTRACTING)
(479) 371-8711
Entity
Organization
Contact information
Practice address
1500 E WRANGLER BLVD, SEMINOLE, OK 74868-3518
(405) 382-0201
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
244726
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237170A
—
OK
05
—
10237170A
—
OK
01
—
2073826
PK
—
Enumeration date
07/16/2006
Last updated
11/06/2023
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