NPI

Wal-Mart Stores East LP

Doing business as Walmart Pharmacy 10-4558. Phone (678) 212-3202 · NPI 1154691723

Read from the NPPES registry on October 24, 2026.

Walmart Pharmacy 10-4558 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2012-01-12
Last updated
2023-08-29

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Specialties

Licenses

License GA
PHRE009811

Location

Practice location
4200 Salem Rd
City
Covington GA
Postal code
30016-4533
Phone
(678) 212-3202

Organization contact

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

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Covington, GA. 12 with this primary taxonomy in the public file.

Other NPIs in Covington, GA. 1,312 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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