Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Jefferson, WI

NPI number 1376700153 Active

Practice location

1520 S Main St
Jefferson, WI 53549-2940

Fax (920) 674-2899

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X8843042 (WI)

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 …

4 other providers at this address

About NPI 1376700153

Wal-Mart Stores East LP's National Provider Identifier is 1376700153, issued on May 20, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jefferson, WI. The record was last updated on Jun 19, 2025.