Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Pharmacy 10-4565
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
SARAH LITTLE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
270 HEALD WAY, THE VILLAGES, FL 32163-6003
(479) 258-6180
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
08/23/2023
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