Organization
WAL-MART STORES EAST LP
Active
Other names
Wal-Mart Pharmacy 10-4612
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1800 TILDEN RIDGE DR, HAMBURG, PA 19526-8181
(610) 562-4580
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482115
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745531288
—
PA
01
—
2128352
PK
—
Enumeration date
01/03/2011
Last updated
08/29/2023
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