Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Locust Grove, GA

NPI number 1659675817 Active

Practice location

4949 Bill Gardner Pkwy
Locust Grove, GA 30248-2910

Call (678) 734-3492 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE009728 (GA)

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 …

5 other providers at this address

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About NPI 1659675817

Wal-Mart Stores East LP's National Provider Identifier is 1659675817, issued on Jan 3, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Locust Grove, GA. The record was last updated on Jul 7, 2025.