Wal-Mart Stores East LP

NPI #1528451556 in Anderson, South Carolina

Provider Information

NPI Number
1528451556
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 16, 2015
Last Updated
Jun 12, 2025

Practice Location

Address
2003 E GREENVILLE ST
ZIP Code
29621-1529
Phone
(864) 760-6162

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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