Wal-Mart Stores East LP

NPI #1568984912 in Cumming, Georgia

Provider Information

NPI Number
1568984912
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 7, 2017
Last Updated
Jun 9, 2025

Practice Location

Address
3655 BROWNS BRIDGE RD
State
Georgia
ZIP Code
30028
Phone
(479) 277-2500

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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