Wal-Mart Stores East LP

NPI #1699154187 in Hinesville, Georgia

Provider Information

NPI Number
1699154187
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 29, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
1422 W OGLETHORPE HWY STE A
State
Georgia
ZIP Code
31313-5645
Phone
(912) 877-9818

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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