Wal-Mart Stores East LP

NPI #1356368500 in Seneca, South Carolina

Provider Information

NPI Number
1356368500
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 5, 2025

Practice Location

Address
1636 SANDIFER BLVD
City
Seneca
ZIP Code
29678-0906
Phone
(864) 885-0119

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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