Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · St. Pauls, NC

NPI number 1174922546 Active

Practice location

120 S Odom Rd
St. Pauls, NC 28384-1470

Mailing address

1 Customer Dr, Mailstop 0445
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X12091 (NC)

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 …

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About NPI 1174922546

Wal-Mart Stores East LP's National Provider Identifier is 1174922546, issued on Aug 21, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in St. Pauls, NC. The record was last updated on Jun 15, 2026.