Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Lake Park, FL

NPI number 1114035508 Active

Practice location

101 N Congress Ave
Lake Park, FL 33403-3804

Fax (479) 277-4331

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 3336C0003XPH22156 (FL)
Specialty Pharmacy 3336S0011XNone listed

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 …

2 other providers at this address

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About NPI 1114035508

Wal-Mart Stores East LP's National Provider Identifier is 1114035508, issued on Aug 27, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lake Park, FL. The record was last updated on Jun 19, 2025.