Wal-Mart Stores East LP

NPI #1659436863 in Chamblee, Georgia

Provider Information

NPI Number
1659436863
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Jul 2, 2025

Practice Location

Address
1871 CHAMBLEE TUCKER RD
State
Georgia
ZIP Code
30341-2737
Phone
(770) 455-4699

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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