Organization
WAL-MART STORES EAST LP
Active
Other names
Walmart Pharmacy 10-5964
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1720 E HILLSBOROUGH AVE, TAMPA, FL 33610-8234
(813) 675-3697
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014744800
—
FL
01
—
2150882
PK
—
Enumeration date
03/11/2015
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