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WALMART PHARMACY 10-3755
NPI 1790187979
Pharmacy - Community/Retail Pharmacy in Mamou, LA

Active since September 19, 2014
1445 OLD HWY 13, MAMOU, LA 70554(337) 468-4017(337) 468-4019 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walmart Pharmacy 10-3755 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART PHARMACY 10-3755 (NPI 1790187979) is a healthcare organization registered as a community/retail pharmacy in Mamou, Louisiana and active in the NPI registry since September 2014. The organization lists Laura Levine, Dir. Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1790187979
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1445 OLD HWY 13Mamou, LA 70554-2100
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(337) 468-4017
Fax(337) 468-4019
Organization SubpartNo
Authorized OfficialLaura LevineDir. Healthcare Contracting · (479) 204-8550
Enumeration DateSeptember 19, 2014
Last NPPES UpdateDecember 28, 2015
✔ NPI 1790187979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · PHY.007033-RC
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1445 OLD HWY 13, Mamou, LA 70554
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3755

Other Identifiers 3

Medicare NSC4355052735
Other2148075Pk
Medicaid2203495LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1790187979. It was assigned to this organization in the NPPES registry on September 19, 2014. The provider is doing business as Walmart Pharmacy 10-3755.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1445 Old Hwy 13, Mamou, LA 70554. The listed phone number is (337) 468-4017.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on December 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.