Organization · Type 2 NPI

Wal-Mart Stores East, LP

Pharmacy · Jacksonville, FL

NPI number 1124996491 Active

Practice location

10000 Omni Dr
Jacksonville, FL 32222-4171

Call (904) 934-6904 Map

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
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…

2 other providers at this address

Other pharmacy providers in Jacksonville

See all in Jacksonville →

About NPI 1124996491

Wal-Mart Stores East, LP's National Provider Identifier is 1124996491, issued on Oct 28, 2025. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 21, 2026.