Organization
WAL-MART STORES EAST LP
Active
Other names
WalMart Pharmacy 10-3485
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2257 HWY 515, BLAIRSVILLE, GA 30512
(706) 835-2833
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120747
PK
—
05
—
651012585A
—
GA
Enumeration date
06/18/2009
Last updated
08/22/2023
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