Wal-Mart Stores East LP

NPI #1548488281 in Leesville, South Carolina

Provider Information

NPI Number
1548488281
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 20, 2007
Last Updated
Jul 11, 2025

Practice Location

Address
115 E CHURCH ST
ZIP Code
29070-7595
Phone
(803) 532-5226

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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