Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Elizabethton, TN

NPI number 1417974692 Active

Practice location

1001 Over Mountain Dr
Elizabethton, TN 37643-2855

Call (423) 543-8202 Map

Fax (423) 543-3187

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	C1842 (TN)

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 …

7 other providers at this address

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About NPI 1417974692

Wal-Mart Stores East LP's National Provider Identifier is 1417974692, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Elizabethton, TN. The record was last updated on Jun 3, 2025.