Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Decatur, GA

NPI number 1912375809 Active

Practice location

2525 N Decatur Rd
Decatur, GA 30033-6126

Call (404) 464-4475 Map

Fax (404) 464-4474

Mailing address

702 SW 8th St, Mail Stop 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE010189 (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 …

Another provider at this address

Avi PatelPharmacist Decatur, GA NPI 1588212153

Other community/retail pharmacy providers in Decatur

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NPI record

NPI: 1912375809
Entity type: Organization (Type 2)
Issued: Sep 9, 2015
Last updated: Aug 30, 2023
Status: Active

Other names

<unavail>
Wal-Mart Pharmacy 10-3118 · doing business as
Wal-Mart Pharmacy 10-3118 · doing business as

Authorized official

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

Verify this record

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 1912375809

Wal-Mart Stores East LP's National Provider Identifier is 1912375809, issued on Sep 9, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Decatur, GA. The record was last updated on Aug 30, 2023.