Wal-Mart Stores East LP

NPI #1043681604 in Athens, Georgia

Provider Information

NPI Number
1043681604
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 8, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
3130 ATLANTA HWY
City
Athens
State
Georgia
ZIP Code
30606-6977
Phone
(706) 715-6236

Authorized Official

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

Specialties & Taxonomy Codes

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

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