Organization · Type 2 NPI

Wal-Mart Stores East , LP

Pharmacy · Shreveport, LA

NPI number 1396117735 Active

Practice location

4701 Northport Blvd
Shreveport, LA 71107

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XPHY.007230-RC (LA)
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 1396117735

Wal-Mart Stores East , LP's National Provider Identifier is 1396117735, issued on Oct 26, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 10, 2025.