Organization
WAL-MART STORES EAST , LP
Active
Other names
Walmart Pharmacy 10-5924
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
SEC OF HWY 98 AND GULF SHORE DRIVE, DESTIN, FL 32541
(479) 204-8705
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-9170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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