Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-3753
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
620 N HIGHWAY 26, LAKE ARTHUR, LA 70549-3404
(337) 774-3424
(337) 774-3426
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007039-RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147979
PK
—
05
—
2203487
—
LA
Enumeration date
09/11/2014
Last updated
12/28/2015
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