OrganizationActive
Wal-Mart Stores Inc
NPI 1114217676 · Community/Retail Pharmacy · Prairie Grove, AR
Wal-Mart Stores Inc is a Community/Retail Pharmacy organization in Prairie Grove, AR (NPI 1114217676).
Provider details
- NPI number
- 1114217676
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Laura Levine, Mgr of Government Contracting(479) 204-8550
Practice location
881 W Buchanan St
Prairie Grove, AR 72753-2880
Phone: (905) 873-3021
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-6209
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2015-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.