Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Horn Lake, MS

NPI number 1104297753 Active

Practice location

4150 Goodman Rd
Horn Lake, MS 38637-0300

Call (662) 253-6181 Map

Mailing address

702 SW 8th St, Mailstop 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	14511 (MS)

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 …

4 other providers at this address

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About NPI 1104297753

Wal-Mart Stores East LP's National Provider Identifier is 1104297753, issued on Oct 8, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Horn Lake, MS. The record was last updated on Jun 9, 2025.