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WALMART PHARMACY 10-3358
NPI 1497145031
Pharmacy - Community/Retail Pharmacy in Interlachen, FL

Active since February 04, 2015
1113 STATE ROAD 20, INTERLACHEN, FL 32148(386) 684-9354(386) 684-9780 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Pharmacy 10-3358 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART PHARMACY 10-3358 (NPI 1497145031) is a healthcare organization registered as a community/retail pharmacy in Interlachen, Florida and active in the NPI registry since February 2015. The organization lists Laura Levine, Director, as its authorized official.

NPPES Registry Identity

NPI1497145031
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1113 STATE ROAD 20Interlachen, FL 32148-5406
Mailing Address702 Sw 8th St, Ms 0445Bentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(386) 684-9354
Fax(386) 684-9780
Organization SubpartNo
Authorized OfficialLaura LevineDirector · (479) 204-8550
Enumeration DateFebruary 4, 2015
Last NPPES UpdateOctober 20, 2015
✔ NPI 1497145031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH29037
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1113 STATE ROAD 20, Interlachen, FL 32148
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3358

Other Identifiers 4

Medicaid014777501 DMEFL
Other2150122Pk
Medicare NSC4355052804
Medicaid014777500FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1497145031. It was assigned to this organization in the NPPES registry on February 4, 2015. The provider is doing business as Walmart Pharmacy 10-3358.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1113 State Road 20, Interlachen, FL 32148. The listed phone number is (386) 684-9354.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.