Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Broken Arrow, OK

NPI number 1699905901 Active

Practice location

3900 E Hillside Dr
Broken Arrow, OK 74014-6713

Call (918) 355-1076 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	2-5449 (OK)

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 …

4 other providers at this address

Other community/retail pharmacy providers in Broken Arrow

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NPI record

NPI: 1699905901
Entity type: Organization (Type 2)
Issued: Jul 21, 2009
Last updated: Aug 29, 2023
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-4637 · doing business as
Walmart Pharmacy 10-4637 · 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 1699905901

Wal-Mart Stores East LP's National Provider Identifier is 1699905901, issued on Jul 21, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 29, 2023.