Wal-Mart Stores East LP

NPI #1275937104 in Rock Hill, South Carolina

Provider Information

NPI Number
1275937104
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 21, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
1225 CHERRY RD
ZIP Code
29732-2507
Phone
(803) 324-1260

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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