Wal-Mart Stores East LP

NPI #1881065449 in Hinesville, Georgia

Provider Information

NPI Number
1881065449
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Oct 8, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
801-A EAST GENERAL STEWART WAY
State
Georgia
ZIP Code
31313
Phone
(912) 255-6009

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
Pharmacy

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