NPI 1114217676
Wal-Mart Stores INC
Practice location
- Address
- 881 W Buchanan St, Prairie Grove, AR 72753-2880
- Phone
- (905) 873-3021
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-6209
Authorised official
- Name
- Laura Levine
- Title
- Mgr of Government Contracting
- Phone
- (479) 204-8550
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1114217676
- Entity type
- Organization
- NPI issued
- 18 Apr 2011
- Record last updated
- 22 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.