Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Stone Mountain, GA

NPI number 1053755314 Active

Practice location

5935 Memorial Dr
Stone Mountain, GA 30083-3429

Fax (404) 260-6143

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003XPHRE009923 (GA)

Community/Retail Pharmacy: 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 …

5 other providers at this address

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About NPI 1053755314

Wal-Mart Stores East LP's National Provider Identifier is 1053755314, issued on Apr 17, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Stone Mountain, GA. The record was last updated on Jun 5, 2025.