WAL-MART STORES EAST LP

FAYETTEVILLE, GA
NPI1922025337
Doing Business AsWALMART PHARMACY 10-0594
Entity TypeOrganization
Authorized ContactKIMBERLY CANONIC
Senior Director, Enrollment
480-277-6348
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: GA  PHRE006830)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2006-07-16
Last Update Date2025-06-02
Business Address
WAL-MART STORES EAST LP
125 PAVILION PKWY
FAYETTEVILLE, GA 30214-4098
Phone number: 770-460-0726
Mailing Address
WAL-MART STORES EAST LP
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone number: