Organization
WAL-MART STORES EAST LP
Active
Other names
WalMart Pharmacy 10-5941
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
99 H ST NW, WASHINGTON, DC 20001-1072
(202) 719-3720
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
RX0000053
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081562400
—
DC
05
—
1558796516
—
VA
01
—
2142240
PK
—
Enumeration date
09/10/2013
Last updated
02/16/2017
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