Wal-Mart Stores East LP
NPI #1548287048 in Waynesboro, Mississippi
Provider Information
- NPI Number
- 1548287048
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 1350 AZALEA DR
- City
- Waynesboro
- State
- Mississippi
- ZIP Code
- 39367-2257
- Phone
- (601) 735-3194
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
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