Organization · Type 2 NPI

Wal-Mart Stores East LP

Pharmacy · Winter Garden, FL

NPI number 1073060646 Active

Practice location

16313 New Independence Pkwy
Winter Garden, FL 34787-8113

Call (407) 554-0181 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH30397 (FL)
Community/Retail Pharmacy	3336C0003X	None 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…

6 other providers at this address

Other pharmacy providers in Winter Garden

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NPI record

NPI: 1073060646
Entity type: Organization (Type 2)
Issued: Sep 1, 2016
Last updated: Nov 6, 2023
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-0110 · doing business as
Walmart Pharmacy 10-0110 · doing business as

Authorized official

Matthew McMullin
Director, Contracting
(479) 371-8711

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073060646

Wal-Mart Stores East LP's National Provider Identifier is 1073060646, issued on Sep 1, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Winter Garden, FL. The record was last updated on Nov 6, 2023.