NPI 1780601005
Wal-Mart Stores East LP
Practice location
- Address
- 350 Park Ridge Rd, Sullivan, MO 63080-3334
- Phone
- (573) 468-5121
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Matthew McMullin
- Title
- Director, Contracting
- Phone
- (479) 371-8711
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1780601005
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 6 Nov 2023
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.