Wal-Mart Stores East LP

NPI #1235513318 in Hephzibah, Georgia

Provider Information

NPI Number
1235513318
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 17, 2015
Last Updated
Jun 6, 2025

Practice Location

Address
3697 WINDSOR SPRING RD
State
Georgia
ZIP Code
30815-7192
Phone
(706) 691-0571

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 PharmacyCommunity/Retail Pharmacy

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