Organization
WAL-MART STORES EAST LP
Active
Organization
WAL-MART STORES EAST LP
Active
Parent organization
WAL-MART STORES INC.
Other names
Wal-Mart Pharmacy 10-5771
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC.
Authorized official
LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
1525 E NINE MILE ROAD, PENSACOLA, FL 32501
(479) 258-6180
(479) 277-4331
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
08/28/2023
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