1063849875 WAL-MART STORES EAST LP
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- WAL-MART STORES EAST LP
- Enumeration Date
- October 11, 2013
- Last Update
- June 6, 2025
- Authorized Official
- KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348
Practice Location
- Address
- 7100 HOPGOOD RD
FAIRVIEW, TN 37062 - Phone
- (615) 387-7023
- Fax
- (615) 387-7024
Mailing Address
- Address
- 702 SW 8TH ST
BENTONVILLE, AR 727166209 - Phone
- (479) 204-0709
- Fax
- (479) 277-4331
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | 5262 | TN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142685 | 01 | N/A | PK |
Digital Endpoints
CONNECT Use: OTHER
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2
Affiliation: Ability Network
Frequently Asked Questions
What is WAL-MART STORES EAST LP's NPI number?
WAL-MART STORES EAST LP's NPI number is 1063849875.
Which doctor has NPI number 1063849875?
The doctor with NPI number 1063849875 is WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's practice address?
WAL-MART STORES EAST LP's practice address is 7100 HOPGOOD RD, FAIRVIEW, TN, 37062.
Which doctor practices at 7100 HOPGOOD RD, FAIRVIEW, TN, 37062?
WAL-MART STORES EAST LP practices at 7100 HOPGOOD RD, FAIRVIEW, TN, 37062.
What is WAL-MART STORES EAST LP's mailing address?
WAL-MART STORES EAST LP's mailing address is 702 SW 8TH ST, BENTONVILLE, AR, 727166209.
What is WAL-MART STORES EAST LP's phone number?
WAL-MART STORES EAST LP's phone number is (615) 387-7023.
Who is (615) 387-7023?
(615) 387-7023 is the phone number for WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's specialty?
WAL-MART STORES EAST LP's specialty is Community/Retail Pharmacy.
What type of doctor is WAL-MART STORES EAST LP?
WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP a Community/Retail Pharmacy?
Yes, WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP still practicing?
Yes, WAL-MART STORES EAST LP is currently practicing.
Is WAL-MART STORES EAST LP accepting new patients?
WAL-MART STORES EAST LP may be accepting new patients. Please call their office at (615) 387-7023 to inquire about availability.
Is NPI 1063849875 still active?
Yes, NPI 1063849875 is currently active.
Where does WAL-MART STORES EAST LP practice?
WAL-MART STORES EAST LP practices in FAIRVIEW, TN.