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 today at 10:04 AM.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