NPI

Wal-Mart Stores East LP

Doing business as Walmart Pharmacy 10-2456. Phone (405) 567-0410 · Fax (405) 567-0997 · NPI 1457753576

Read from the NPPES registry on October 24, 2026.

Walmart Pharmacy 10-2456 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2014-09-19
Last updated
2015-12-23

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Specialties

Licenses

License OK
316844

Location

Practice location
2310 W Main St
City
Prague OK
Postal code
74864-9537
Phone
(405) 567-0410
Fax
(405) 567-0997

Organization contact

Name
Laura Levine
Title
Dir. Healthcare Contracting
Phone
(479) 204-8550

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Prague, OK. 5 with this primary taxonomy in the public file.

Other NPIs in Prague, OK. 83 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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