Wal-Mart Stores East LP
NPI #1659675817 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1659675817
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jul 7, 2025
Practice Location
- Address
- 4949 BILL GARDNER PKWY
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2910
- Phone
- (678) 734-3492
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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