OrganizationWal-Mart Stores East Lp(Walmart Pharmacy 10-1513)PharmacySuppliersPractice Address35404 Us Highway 19 N, Palm Harbor, FL 34684-1738(727) 784-8897PECOS EnrollmentBased on the most recent information from CMS, provider Wal-Mart Stores East Lp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497772875Provider TypeOrganizationFull NameWal-Mart Stores East LpOther NameWalmart Pharmacy 10-1513SubpartNoEnumeration Date7/16/2006Last Updated8/30/2023Contact InformationPractice LocationPractice Address35404 Us Highway 19 N, Palm Harbor, FL 34684-1738Phone(727) 784-8897FaxUnlisted FaxMailing LocationMailing Address702 SW 8th St, Bentonville, AR 72716-0445PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameLittle, Sarah (Director Of Healthcare Contracting)Phone(479) 277-2500Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH15444FloridaCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2010814DescriptionOtherIssuerPKID109075500DescriptionMedicaidIssuerUnlistedFlorida