Wal-Mart Stores East LP

NPI #1487086252 in Martinez, Georgia

Provider Information

NPI Number
1487086252
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 5, 2013
Last Updated
Jun 5, 2025

Practice Location

Address
3851 EVANS TO LOCKS RD
State
Georgia
ZIP Code
30907-5073
Phone
(706) 941-5857

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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