Wal-Mart Stores East LP
NPI #1053782615 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1053782615
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 8, 2015
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 1401 W GEORGIA RD
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29680-6322
- Phone
- (864) 757-7207
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 Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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