Wal-Mart Stores East LP
NPI #1326366493 in Lake Wylie, South Carolina
Provider Information
- NPI Number
- 1326366493
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 13, 2010
- Last Updated
- Sep 29, 2025
Practice Location
- Address
- 175 HIGHWAY 274
- City
- Lake Wylie
- State
- South Carolina
- ZIP Code
- 29710-6045
- Phone
- (803) 619-7028
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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