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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