Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Ruckersville, VA

NPI number 1871804286 Active

Practice location

135 Stoneridge Dr N
Ruckersville, VA 22968-3088

Call (434) 990-6003 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	0201004352 (VA)

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 …

4 other providers at this address

NPI record

NPI: 1871804286
Entity type: Organization (Type 2)
Issued: Jun 30, 2010
Last updated: Aug 29, 2023
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-4638 · doing business as
Walmart Pharmacy 10-4638 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871804286

Wal-Mart Stores East LP's National Provider Identifier is 1871804286, issued on Jun 30, 2010. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ruckersville, VA. The record was last updated on Aug 29, 2023.