Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Commerce, GA. Organization (NPI-2).
NPI number1104843523
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1104843523
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHRE006919 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-0003 (Doing Business As)
Practice location
30983 Highway 441 SCommerce, GA 30529-6655
Phone 706-335-7818
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Matthew McMullin
Director, Contracting
4793718711
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Commerce, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.