DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WAL-MART STORES EAST LP

MEDICARE: WAL-MART STORES EAST LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy020716650OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22072749OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821015017
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORES EAST LP
Provider Business Mailing Address
First Line : 702 SW 8TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23605 AIRPORT RD
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-9262
Country : US
Telephone Number : 740-622-1292
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF HEALTHCARE CONTRACTING
Name : SARAH LITTLE
Credential :
Telephone Number : 479-277-2500
Provider Enumeration Date : 07/16/2006
Last Update Date : 08/23/2023

Similar Medicare Providers

1053679423 — KIDNEY CARE CENTERS OF COSHOCTON OHIO LLC
Practice Location Address:
23649 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-291-8030
Practice Fax: 740-291-8034
1780695759 — WAL-MART STORES EAST, LP
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1278
Practice Fax:
1902919558 — DR. BARBARA STEWART NEWMAN O.D.
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-6151
Practice Fax: 740-622-6205
1598365900 — PAUL WILLIAM SIMMONS
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:
1295336600 — SHAWN READ RPH
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:
1245831940 — DR. ERICA FAYE HUFFER PHARMD, RPH
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:

Directions to “WAL-MART STORES EAST LP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.