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Wal-Mart Stores East Lp — NPI 1164449344, Jackson, OH | NPI Central

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NPI 1164449344

OrganizationActive

Wal-Mart Stores East Lp

NPI 1164449344 · Community/Retail Pharmacy · Jackson, OH

Provider details

NPI number: 1164449344
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Sarah Little, Director of Healthcare Contracting(479) 277-2500

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 020626500 (OH)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

100 Walmart Dr

Jackson, OH 45640-8692

Phone: (740) 286-6860

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

702 Sw 8th St

Bentonville, AR 72716-0445

Other names (DBA / former)

Doing business as: Walmart Pharmacy 10-1519
Doing business as: Walmart Pharmacy 10-1519

Registry dates

Enumerated: 2006-07-16
Last updated: 2023-08-30
Certified: 2023-08-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.