Wal-Mart Stores East LP

NPI #1598189276 in Holly Springs, Georgia

Provider Information

NPI Number
1598189276
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 14, 2014
Last Updated
Jun 5, 2025

Practice Location

Address
2200 HOLLY SPRINGS PKWY
State
Georgia
ZIP Code
30115-9079
Phone
(770) 213-6521

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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