Wal-Mart Stores East LP
NPI #1679950158 in Goose Creek, South Carolina
Provider Information
- NPI Number
- 1679950158
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 4, 2015
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 215 SAINT JAMES AVE
- City
- Goose Creek
- State
- South Carolina
- ZIP Code
- 29445-2938
- Phone
- (843) 714-6289
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 Pharmacy — Community/Retail Pharmacy |
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