Wal-Mart Stores East LP

NPI #1396763116 in Mt Pleasant, South Carolina

Provider Information

NPI Number
1396763116
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 3, 2025

Practice Location

Address
1481 N HIGHWAY 17
ZIP Code
29464-3332
Phone
(843) 881-9585

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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