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Organization

WAL-MART STORES EAST LP

Active
Other names
Wal-Mart Pharmacy 10-7264
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization

Contact information

Practice address
25 ATLANTIC AVE, ERLANGER, KY 41018-3151
(479) 273-4000
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2143616
PK
Enumeration date
12/26/2013
Last updated
02/15/2017
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