WAL-MART STORES EAST LP

NPI: 1104844547 · Organization · Active

Primary Specialty

Community/Retail Pharmacy
Pharmacy — Community/Retail Pharmacy

Practice Location

13227 CITY SQUARE DR
JACKSONVILLE, FL 32218-7218 Map ↗
Phone: 904-751-5141
Fax: 479-277-4331

Mailing Address

702 SW 8TH ST
BENTONVILLE, AR 72716-0445 Map ↗
Phone: 479-277-1242

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Community/Retail Pharmacy Primary — Community/Retail Pharmacy (license: PH21970, FL)
  • Durable Medical Equipment & Medical Supplies
  • Pharmacy
  • Specialty Pharmacy — Specialty Pharmacy

HIE Endpoints

  • CONNECT: https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
    via Ability Network

NPI Registration

Enumerated: 2006-07-17

Last CMS Update: 2025-07-07