Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-4595
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1885 N PINE ISLAND RD, PLANTATION, FL 33322-5208
(954) 472-3305
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032599600
—
FL
05
—
032599601
—
FL
01
—
2011276
PK
—
Enumeration date
03/17/2008
Last updated
09/19/2025
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