Organization · NPI-2

Wal-Mart Stores East LP

Pharmacy, Community/Retail Pharmacy · Cockeysville, MD

NPI number1922025204

StatusActive

Last updated in NPPESSep 19, 2025

Details

NPI: 1922025204
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
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Other names

Walmart Pharmacy 10-2577 (Doing Business As)

Practice location

1 Frankel Way
Cockeysville, MD 21030-3220

Phone 410-628-6168 · Fax 410-628-6232

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0445

Phone 479-277-9170

Authorized official

Sarah Little
Director Of Healthcare Contracting
4792772500

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