Organization
WAL-MART STORES EAST LP
Active
Other names
WAL-MART PHARMACY 10-1338
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3515 VICTORY DR, COLUMBUS, GA 31903-2733
(706) 568-4517
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-6180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399539A
—
GA
05
—
164733
—
AL
05
—
1750308078
—
AL
01
—
2017138
PK
—
Enumeration date
07/16/2006
Last updated
08/29/2023
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