Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-4458
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
7016 GB ALFORD HWY, HOLLY SPRINGS, NC 27540-7299
(919) 557-9294
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
09927
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920029
—
NC
01
—
2066558
PK
—
05
—
7704785
—
NC
05
—
920029
—
NC
Enumeration date
07/20/2007
Last updated
08/23/2023
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