Home » Arkansas » 38683 » Wal-mart Stores East Lp

Wal-mart Stores East Lp

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.

physician-icon Basic Information

Practice Location 28191 Highway 15, Walnut, MS 38683-9798, US
Practice Location Phone662-223-5242
Practice Location Fax
Legal Business NameWAL-MART STORES EAST LP
Other Organization NameWALMART PHARMACY 10-3866
Other Organization Name TypeDoing Business As Name
NPI ?1124427455
Entity TypeOrganization
Enumeration Date ? Aug 22, 2014
Last Update Date ? Dec 29, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wal-mart Stores East Lp

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy 13614/ 1.2Mississippi

legacy-id-icon Legacy Provider IDs of Wal-mart Stores East Lp

Provider IdIssuer StateIssuer TypeIssuer
4355052697Medicare Nsc
2147555OtherPK
03174871MississippiMedicaid

official-icon Authorized Official of Wal-mart Stores East Lp

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/PositionDIR HEALTHCARE CONTR
Authorized Official Phone Number479-204-8550