Wal-mart Stores East Lp
May also be knows as Walmart Pharmacy 10-0517
Community/Retail Pharmacy in Mustang, OK(View on Map)
Legal Business Name
Wal-mart Stores East Lp
Also Known As
Walmart Pharmacy 10-0517
NPI Number
1043237159
NPI Type
Organization
Enumeration Date
07/16/2006
Specialties
(Taxonomies)Code
3336C0003X
332B00000X
333600000X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
264702
Contact
Information
Purpose
Mailing
Location
Address
702 SW 8TH ST
951 E STATE HIGHWAY 152
City
Bentonville
Mustang
State
AR
OK
Postal Code
72716-0445
73064-5119
Country
US
US
Telephone Number
N/A
(405) 376-4525
Authorized Official
Name
Sarah Little
Title or Position
DIRECTOR OF HEALTHCARE CONTRACTING
Telephone Number
(479) 277-2500
Identifiers
Identifier
100238070A
2073927
Identifier State
OK
Unknown
Identifier Issuer
Unknown
PK
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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