Organization
WAL-MART STORES EAST LP
Active
Other names
WalMart Pharmacy 10-5879
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
11145 BRYTON TOWN CENTER DR, HUNTERSVILLE, NC 28078-7215
(704) 977-2043
(704) 977-2044
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11537
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487996351
—
NC
01
—
2140589
PK
—
Enumeration date
03/19/2013
Last updated
08/29/2023
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