Organization

Wal-mart Stores East Lp

May also be knows as Wal-mart Pharmacy 10-3457

Community/Retail Pharmacy in Tulsa, OK(View on Map)

Legal Business Name

Wal-mart Stores East Lp

Also Known As

Wal-mart Pharmacy 10-3457

NPI Number

1417974551

NPI Type

Organization

Enumeration Date

07/16/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Oklahoma

License Number

24527

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH ST
3116 S GARNETT RD

City

Bentonville
Tulsa

State

AR
OK

Postal Code

72716-0445
74146-1933

Country

US
US

Telephone Number

N/A
(918) 622-7923

Authorized Official

Name

Sarah Little

Title or Position

DIRECTOR OF HEALTHCARE CONTRACTING

Telephone Number

(479) 277-2500

Identifiers

Identifier

2076415
100246830A

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 02/16/2017

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