Organization
WAL-MART STORES INC
Active
Organization
WAL-MART STORES INC
Active
Other names
Wal-Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
905 GENTRY BLVD, GENTRY, AR 72734-8579
(506) 452-1515
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20652
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238800D
—
OK
05
—
188050407
—
AR
01
—
2129769
PK
—
Enumeration date
03/28/2011
Last updated
12/22/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up