Organization
WAL-MART STORES EAST LP
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Pharmacy 10-3211
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER GOVT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
509 DOCTOR DONNIE H JONES JR BLVD W, PRINCETON, NC 27569-6820
(919) 936-0062
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139670
PK
—
Enumeration date
03/29/2013
Last updated
12/04/2013
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