Organization

Wal-mart Stores East Lp

May also be knows as Wal-mart Pharmacy 10-3659

Community/Retail Pharmacy in Chattanooga, TN(View on Map)

Legal Business Name

Wal-mart Stores East Lp

Also Known As

Wal-mart Pharmacy 10-3659

NPI Number

1396756813

NPI Type

Organization

Enumeration Date

08/10/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X

Primary Taxonomy

Yes
No

Licenses

State

Tennessee

License Number

4309

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH ST
501 SIGNAL MOUNTAIN RD

City

Bentonville
Chattanooga

State

AR
TN

Postal Code

72716-0445
37405-1919

Country

US
US

Telephone Number

(479) 204-8550
(423) 756-3511

Authorized Official

Name

Sarah Little

Title or Position

DIRECTOR OF HEALTHCARE CONTRACTING

Telephone Number

(479) 277-2500

Identifiers

Identifier

1455122
2095041

Identifier State

TN
Unknown

Identifier Issuer

Unknown
PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/15/2017

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