Organization
WAL-MART STORES EAST , LP
Active
Other names
Walmart Pharmacy 10-8861
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SR. DIRECTOR)
(479) 277-2611
Entity
Organization
Contact information
Practice address
6861 E US HWY 98, SANTA ROSA BEACH, FL 32459-0000
(850) 213-7113
(850) 213-7101
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(405) 202-9255
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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