Organization
WAL-MART STORES EAST LP
Active
Other names
WAL-MART PHARMACY 10-2898
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
665 BOSTON POST RD, OLD SAYBROOK, CT 06475-1524
(860) 388-0560
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
PCY.0001784
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216380
—
CT
05
—
008045339
—
CT
01
—
2002412
PK
—
05
—
940004216380
—
CT
Enumeration date
07/16/2006
Last updated
08/29/2023
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