Wal-Mart Stores East LP

NPI #1518184597 in Oakwood, Georgia

Provider Information

NPI Number
1518184597
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 19, 2007
Last Updated
Jul 2, 2025

Practice Location

Address
3875 MUNDY MILL RD
State
Georgia
ZIP Code
30566-3415
Phone
(770) 535-3702

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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