Organization · Type 2 NPI

Wal-Mart Stores East LP

Pharmacy · Simpsonville, SC

NPI number 1053782615 Active

Practice location

1401 W Georgia Rd
Simpsonville, SC 29680-6322

Fax (864) 757-7206

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X16322 (SC)
Community/Retail Pharmacy 3336C0003XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1053782615

Wal-Mart Stores East LP's National Provider Identifier is 1053782615, issued on Oct 8, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Simpsonville, SC. The record was last updated on Jun 10, 2025.