Wal-Mart Stores East LP

NPI #1760516330 in Maryville, Tennessee

Provider Information

NPI Number
1760516330
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 15, 2007
Last Updated
Jul 9, 2025

Practice Location

Address
2410 US HIGHWAY 411 S
ZIP Code
37801-8629
Phone
(865) 982-5102

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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