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
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
100 Walmart Dr
Jackson, OH 45640-8692
Phone: (740) 286-6860
Approximate (ZIP-level) locationGet directions
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.