Wal-Mart Stores East LP

NPI #1831116151 in Roswell, Georgia

Provider Information

NPI Number
1831116151
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 14, 2025

Practice Location

Address
970 MANSELL RD
State
Georgia
ZIP Code
30076-1506
Phone
(770) 641-0021

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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