Wal-Mart Stores East LP
NPI #1972920577 in Grantsboro, North Carolina
Provider Information
- NPI Number
- 1972920577
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 21, 2014
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 11233B NC 55 HWY E
- City
- Grantsboro
- State
- North Carolina
- ZIP Code
- 28529-9471
- Phone
- (252) 201-9012
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 Pharmacy — Community/Retail Pharmacy |
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