Wal-mart Stores East Lp

Community/Retail Pharmacy Accepts Medicare


  
  929 S Pine St, Vivian
Louisiana, 71082-3364

 318-375-4510   
Wal-mart Stores East Lp is a Community/Retail Pharmacy in Vivian, Louisiana. It is located at 929 S Pine St, Vivian and it's customer support contact number is 318-375-4510. The authorized person of Wal-mart Stores East Lp is Matthew Mcmullin who is Director, Contracting of the pharmacy and his contact number is 479-371-8711. Active license number of Wal-mart Stores East Lp is 4918RC for Community/Retail Pharmacy in Louisiana. Wal-mart Stores East Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Stores East Lp is 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.


Pharmacy Details:
Wal-mart Stores East Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Wal-mart Stores East Lp
Type: Community/Retail Pharmacy
Location:929 S Pine St, Vivian,
Louisiana, 71082-3364
Phone:318-375-4510
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Matthew Mcmullin
Position: Director, Contracting
Contact Number: 479-371-8711
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1154348415
NPI Enumeration Date: 16 Jul, 2006
NPI Last Update On: 06 Nov, 2023

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Stores East Lp are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 4918RCLouisianaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1259560MedicaidLouisiana
2032564OtherPk
Medicare Enrollment:
Wal-mart Stores East Lp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6204749997O20100930073233Wal-mart Stores East LpDME SUPPLIER - PHARMACY
Products Available:
Wal-mart Stores East Lp has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 702 Sw 8th St,
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: --
    Fax Number: --
    Patients can reach Wal-mart Stores East Lp at 929 S Pine St, Vivian, Louisiana or can call on customer care at 318-375-4510.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

    Other Pharmacies in Vivian, Louisiana
    Community Rx
    Speciality: Community/Retail Pharmacy
    Address: 1003 S Spruce St, Vivian, LA
    Phone: 318-375-3180    Fax: 318-731-3035
    Rx Care Of La Inc
    Speciality: Pharmacy
    Address: 202 South Ave, Ste A, Vivian, LA
    Phone: 318-375-3784    Fax: 318-375-5009