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
326 N BROADWAY, SALEM, NH 03079-2122
(603) 894-4747
(603) 893-4847
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
12/07/2023
Last updated
12/07/2023
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