Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-5129
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
6210 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-1308
(301) 773-7596
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038218
PK
—
05
—
4132564 00
—
MD
05
—
413256400
—
MD
Enumeration date
03/14/2007
Last updated
08/30/2023
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