Wal-mart Stores East Lp is a health care provider in Bentonville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||28191 Highway 15, Walnut, MS 38683-9798, US|
|Practice Location Phone||662-223-5242|
|Practice Location Fax|
|Legal Business Name||WAL-MART STORES EAST LP|
|Other Organization Name||WALMART PHARMACY 10-3866|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Aug 22, 2014|
|Last Update Date ?||Dec 29, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|
|Pharmacy||Suppliers||Community/Retail Pharmacy||13614/ 1.2||Mississippi|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wal-mart Stores East Lp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Laura Levine|
|Authorized Official Title/Position||DIR HEALTHCARE CONTR|
|Authorized Official Phone Number||479-204-8550|