Organization
WAL-MART STORES EAST, LP.
Active
Other names
Walmart pharmacy 10-3164
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2611
Entity
Organization
Contact information
Practice address
590 E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-8746
(910) 892-4921
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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