Wal-Mart Stores East LP

NPI #1750514774 in Grovetown, Georgia

Provider Information

NPI Number
1750514774
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 25, 2009
Last Updated
Jul 7, 2025

Practice Location

Address
5010 STEINER WAY
State
Georgia
ZIP Code
30813-5010
Phone
(706) 860-8808

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 PharmacyCommunity/Retail Pharmacy

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