Wal-Mart Stores East LP

NPI #1023350329 in Tucker, Georgia

Provider Information

NPI Number
1023350329
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 25, 2013
Last Updated
Jun 5, 2025

Practice Location

Address
3201 TUCKER NORCROSS RD
City
Tucker
State
Georgia
ZIP Code
30084-2150
Phone
(770) 225-6025

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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