Wal-Mart Stores East LP

NPI #1326462094 in Sylvester, Georgia

Provider Information

NPI Number
1326462094
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 14, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
1102 E FRANKLIN ST
State
Georgia
ZIP Code
31791-7186
Phone
(229) 463-6009

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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