WAL-MART STORES EAST LP

NPI: 1124045331 · Organization · Active

Primary Specialty

Community/Retail Pharmacy
Pharmacy — Community/Retail Pharmacy

Practice Location

4965 HIGHWAY 90
PACE, FL 32571-1408 Map ↗
Phone: 850-995-5115

All Specialties & Licenses

  • Community/Retail Pharmacy Primary — Community/Retail Pharmacy (license: PH15369, FL)
  • Durable Medical Equipment & Medical Supplies
  • Pharmacy

HIE Endpoints

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

NPI Registration

Enumerated: 2006-07-16

Last CMS Update: 2025-06-04