Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Hattiesburg, MS

NPI number 1073532057 Active

Practice location

5901 U S Highway 49
Hattiesburg, MS 39402-2858

Call (601) 296-9566 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	04612 (MS)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

9 other providers at this address

Other community/retail pharmacy providers in Hattiesburg

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NPI record

NPI: 1073532057
Entity type: Organization (Type 2)
Issued: Jul 19, 2006
Last updated: Aug 23, 2023
Status: Active

Other names

<unavail>
Wal-Mart Pharmacy 10-2717 · doing business as
Wal-Mart Pharmacy 10-2717 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073532057

Wal-Mart Stores East LP's National Provider Identifier is 1073532057, issued on Jul 19, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 23, 2023.