Organization · Type 2 NPI

Wal-Mart Stores East LP

Pharmacy · Valdosta, GA

NPI number 1760938013 Active

Practice location

4196 Bemiss Rd
Valdosta, GA 31605-7830

Call (229) 588-7577 Map

Fax (229) 588-7576

Mailing address

1 Customer Dr, Mailstop 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHRE010319 (GA)
Community/Retail Pharmacy	3336C0003X	None 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…

3 other providers at this address

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About NPI 1760938013

Wal-Mart Stores East LP's National Provider Identifier is 1760938013, issued on Aug 28, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Valdosta, GA. The record was last updated on Jun 15, 2026.