Wal-Mart Stores East LP

NPI #1992981328 in Alpharetta, Georgia

Provider Information

NPI Number
1992981328
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 16, 2008
Last Updated
Jul 11, 2025

Practice Location

Address
5455 ATLANTA HWY
State
Georgia
ZIP Code
30004-2928
Phone
(770) 475-4011

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

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