Organization
WAL-MART STORES EAST LP
Active
Other names
WAL-MART PHARMACY 10-2605
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2145 EASTERN AVE, GALLIPOLIS, OH 45631-1873
(740) 441-0175
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
021066550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063734
—
OH
01
—
2075366
PK
—
Enumeration date
07/16/2006
Last updated
08/28/2023
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