Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Jefferson City, TN

NPI number 1760409940 Active

Practice location

630 E Broadway Blvd
Jefferson City, TN 37760-4900

Call (865) 475-3736 Map

Fax (865) 475-3954

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	C2243 (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 …

5 other providers at this address

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About NPI 1760409940

Wal-Mart Stores East LP's National Provider Identifier is 1760409940, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jefferson City, TN. The record was last updated on Jun 3, 2025.