Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-7334
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4350 US HIGHWAY 70 E, GOLDSBORO, NC 27534-9246
(919) 988-6040
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(919) 988-6040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306245733
—
NC
01
—
2148216
PK
—
Enumeration date
08/21/2014
Last updated
06/10/2025
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