Organization

Wal-mart Stores East Lp

May also be knows as Walmart Pharmacy 10-7425

Pharmacy in Oklahoma City, OK(View on Map)

Legal Business Name

Wal-mart Stores East Lp

Also Known As

Walmart Pharmacy 10-7425

NPI Number

1063968634

NPI Type

Organization

Enumeration Date

09/01/2016

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH ST
7860 NW EXPRESSWAY

City

Bentonville
Oklahoma City

State

AR
OK

Postal Code

72716-0445
73132-1554

Country

US
US

Telephone Number

(479) 204-8550
(479) 204-8705

Authorized Official

Name

Laura Levine

Title or Position

DIR HEALTHCARE CONCTRACT & ENROLLME

Telephone Number

(479) 204-8550

Identifiers

Identifier

2164025

Identifier State

Unknown

Identifier Issuer

PK

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

Data last updated by provider on 09/20/2016

Provider Address

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