Wal-mart Stores East Lp
May also be knows as Walmart Pharmacy 10-0340
Community/Retail Pharmacy in Checotah, OK(View on Map)
Legal Business Name
Wal-mart Stores East Lp
Also Known As
Walmart Pharmacy 10-0340
NPI Number
1760400428
NPI Type
Organization
Enumeration Date
07/18/2006
Specialties
(Taxonomies)Code
3336C0003X
332B00000X
333600000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
485276
Contact
Information
Purpose
Mailing
Location
Address
702 SW 8TH ST
131 S PAUL CARR DR
City
Bentonville
Checotah
State
AR
OK
Postal Code
72716-0445
74426-2063
Country
US
US
Telephone Number
N/A
(918) 473-5404
Authorized Official
Name
Sarah Little
Title or Position
DIRECTOR OF HEALTHCARE CONTRACTING
Telephone Number
(479) 277-2500
Identifiers
Identifier
2073810
100237030A
Identifier State
Unknown
OK
Identifier Issuer
PK
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/20/2017
Provider Address
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