Wal-Mart Stores East LP

NPI #1538253695 in Buford, Georgia

Provider Information

NPI Number
1538253695
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 3, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
3250 SARDIS CHURCH RD
City
Buford
State
Georgia
ZIP Code
30519-6019
Phone
(678) 546-6406

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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