Organization · Type 2 NPI

Wal-Mart Stores East, LP

Community/Retail Pharmacy · Pace, FL

NPI number 1194613869 Active

Practice location

4239 Berryhill Road
Pace, FL 32571-8339

Call (850) 463-9461 Map

Fax (850) 463-9464

Mailing address

1 Customer Drive, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None 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 …

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About NPI 1194613869

Wal-Mart Stores East, LP's National Provider Identifier is 1194613869, issued on Jun 24, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pace, FL. The record was last updated on Dec 9, 2025.