Wal-Mart Stores East LP
Pharmacy in Pocomoke City, MD. Organization (NPI-2).
NPI number1104843481
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1104843481
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Aug 28, 2023
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | P02045 | MD | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-2514 (Doing Business As)
Practice location
2132 Old Snow Hill RdPocomoke City, MD 21851-2734
Phone 410-957-9610 · Fax 410-957-9612
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-9170
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
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