Wal-Mart Stores East LP

NPI #1083632889 in Chester, South Carolina

Provider Information

NPI Number
1083632889
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Aug 6, 2025

Practice Location

Address
1691 J A COCHRAN BYP
ZIP Code
29706-2204
Phone
(803) 581-3096

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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