Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores Inc

Organization Community/Retail Pharmacy · NPI 1174960843

Wal-Mart Stores Inc is a Community/Retail Pharmacy in Hawaiian Gardens, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12120 Carson St
Hawaiian Gardens, CA 90716-1108
Phone: (562) 384-4063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 51527 (CA)

Record details

NPI number1174960843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Levine — Manager Of Government Contract · (479) 204-8550
Other names Wal-Mart Pharmacy 10-4173
NPI enumeratedJune 4, 2013
Last updated in NPPESOctober 6, 2014
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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