Organization · Type 2 NPI

Wal-Mart Stores East LP

Pharmacy · Radcliff, KY

NPI number 1194197533 Active

Practice location

102 Gateway Crossing Blvd
Radcliff, KY 40160-9204

Mailing address

702 SW 8th St, Mailstop 0445
Bentonville, AR 72716-6209

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XP07721 (KY)
Community/Retail Pharmacy 3336C0003XNone 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…

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About NPI 1194197533

Wal-Mart Stores East LP's National Provider Identifier is 1194197533, issued on Oct 26, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Radcliff, KY. The record was last updated on Jun 10, 2025.