Wal-Mart Stores East LP
NPI #1093942906 in Irmo, South Carolina
Provider Information
- NPI Number
- 1093942906
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 18, 2009
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 1180 DUTCH FORK RD
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-8874
- Phone
- (803) 781-7877
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 |
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