Wal-Mart Stores East LP
NPI #1922163138 in College Park, Georgia
Provider Information
- NPI Number
- 1922163138
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 6149 OLD NATIONAL HWY
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-4479
- Phone
- (770) 994-0199
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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