Organization
WAL-MART STORES EAST , LP
Active
Other names
WALMART PHARMACY 10-5022
Organization subpart
No
Provider details
NPI number
Authorized official
JODI A PROHOFSKY (SR. DIRECTOR CHANNEL MANAGEMENT)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1901 TCHOUPITOULAS ST, NEW ORLEANS, LA 70130
(504) 522-6959
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5762-RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213594
—
LA
05
—
1271781
—
LA
01
—
2035219
PK
—
Enumeration date
07/16/2006
Last updated
08/30/2023
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