Organization
WAL-MART STORES INC
Active
Other names
Walmart Pharmacy 10-2498
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
720 N HWY 71, MANSFIELD, AR 72940
(479) 928-9002
(479) 928-9004
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1240
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20787
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206912407
—
AR
01
—
2148427
PK
—
Enumeration date
10/07/2014
Last updated
12/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us