Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Audubon, New Jersey
1083631121- Practice location
- 130 Black Horse Pike, Audubon, NJ 08106-1960
- Phone
- 856-310-1519
- Fax
- —
- Last updated
- August 30, 2023
Wal-Mart Stores East LP is a healthcare organization based in Audubon, NJ. Wal-Mart Stores East LP practices in Audubon, NJ. The NPI Number for Wal-Mart Stores East LP is 1083631121 and holds a License No. 28RS00653800 (NJ). The current practice location address for Wal-Mart Stores East LP is 130 Black Horse Pike, Audubon, NJ 08106-1960 and can be reached out via phone at 856-310-1519.
Provider Profile Details
- NPI Number
- 1083631121
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 130 Black Horse Pike, Audubon, NJ 08106-1960
- Phone Number
- 856-310-1519
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Sarah Little · Director Of Healthcare Contracting · 479-277-2500
- Other Names
- Walmart Pharmacy 10-5047 (Doing Business As)
- Provider Enumeration Date
- July 16, 2006
- Last Update Date
- August 30, 2023
- Certification Date
- August 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Black Horse Pike
Audubon, NJ 08106-1960 - City
- Audubon
- State
- New Jersey
- Zip
- 08106-1960
- Phone Number
- 856-310-1519
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 28RS00653800
- License State (3)
- NJ
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Audubon, NJ
View all Pharmacy, Community/Retail Pharmacy providers in Audubon →Frequently Asked Questions
What is the NPI number of Wal-Mart Stores East LP?
The NPI number of Wal-Mart Stores East LP is 1083631121. It was assigned on July 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Stores East LP?
Wal-Mart Stores East LP is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00653800.
Where does Wal-Mart Stores East LP practice?
The practice location is 130 Black Horse Pike, Audubon, NJ 08106-1960. The office can be reached at 856-310-1519 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083631121 directly on the NPPES registry website.