Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-3766
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DR. HEALTHCARE & ENROLLMENT)
(479) 204-8550
Entity
Organization
Contact information
Practice address
2325 SERAN, WEWOKA, OK 74884-5098
(405) 257-6566
(405) 257-6730
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24-6876
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231610 U
—
OK
01
—
2149233
PK
—
Enumeration date
12/04/2014
Last updated
05/06/2015
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