Wal-Mart Stores East LP

NPI #1487075222 in Marietta, Georgia

Provider Information

NPI Number
1487075222
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 20, 2013
Last Updated
Jun 6, 2025

Practice Location

Address
2909 AUSTELL RD SW STE 100
State
Georgia
ZIP Code
30008-6853
Phone
(770) 615-1381

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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