Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · La Grange, KY

NPI number 1174540405 Active

Practice location

1015 New Moody Ln
La Grange, KY 40031-9142

Call (502) 222-9797 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	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	P06069 (KY)

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 …

12 other providers at this address

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About NPI 1174540405

Wal-Mart Stores East LP's National Provider Identifier is 1174540405, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in La Grange, KY. The record was last updated on Jun 5, 2025.