Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-5054
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
11900 ATLANTIC BLVD, JACKSONVILLE, FL 32225-2920
(904) 641-7551
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18953
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025860100
—
FL
01
—
2015178
PK
—
05
—
25860100
—
FL
Enumeration date
07/19/2006
Last updated
08/30/2023
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