Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-3161
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
6850 GULFPORT BLVD S, SOUTH PASADENA, FL 33707-2108
(727) 202-3877
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH27766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010784200
—
FL
01
—
2144015
PK
—
Enumeration date
11/21/2013
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