Wal-Mart Stores East LP

NPI #1174985246 in Darlington, South Carolina

Provider Information

NPI Number
1174985246
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 28, 2016
Last Updated
Jun 9, 2025

Practice Location

Address
251 ANDOVER PL
ZIP Code
29532-1500
Phone
(843) 395-8467

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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