Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-0802
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
300 6TH AVE W, MONROE, WI 53566-1342
(608) 328-4939
(608) 325-7321
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8940-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114535
PK
—
05
—
33057500
—
WI
Enumeration date
07/16/2006
Last updated
09/19/2025
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