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WAL-MART STORES INC NPI 1144515131


NPI Information

NPI: 1144515131
Provider Name: WAL-MART STORES INC

Doing Business As: WAL-MART PHARMACY 10-3033

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
800 1ST AVE SE
GRAVETTE, AR
ZIP 72736
Phone: (479) 787-5248
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WAL-MART STORES INC is a community/retail pharmacy pharmacy in Gravette, AR. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. WAL-MART STORES INC NPI is 1144515131. The provider is registered as an organization entity type.
The provider Is Doing Business As Wal-mart Pharmacy 10-3033.

The provider's business location address is:

800 1ST AVE SE
GRAVETTE, AR
ZIP 72736-815
Phone: (479) 787-5248

The provider's authorized official is Laura Levine .
The authorized official title is Mgr Of Government Contracting and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 6/17/2011 and was last updated on 12/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20662ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10279613409MEDICARE NSC
2100238800CMEDICAIDOKLAHOMA
32130775OTHERPK
4189238407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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