Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Pharmacy 10-5212
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
SARAH LITTLE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4401 POOLE RD., RALEIGH, NC 27603-0000
(479) 258-6180
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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