Home » Arkansas » 74346 » 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 1107 S Main St, Jay, OK 74346-3848, US
Practice Location Phone918-253-4034
Practice Location Fax
Legal Business NameWAL-MART STORES EAST LP
Other Organization NameWALMART PHARMACY 10-0327
Other Organization Name TypeDoing Business As Name
NPI ?1689692345
Entity TypeOrganization
Enumeration Date ? Jul 18, 2006
Last Update Date ? Feb 16, 2017
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
Pharmacy
PharmacyCommunity/Retail Pharmacy 453924Oklahoma

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

Provider IdIssuer StateIssuer TypeIssuer
2074838OtherPK
100243610AOklahomaMedicaid

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 Sarah Little
Authorized Official Title/PositionDIRECTOR OF HEALTHCARE CONTRACTING
Authorized Official Phone Number479-277-2500