1548288012 WAL-MART STORES EAST LP

Community/Retail Pharmacy

Active

Basic Information

Organization Name
WAL-MART STORES EAST LP
Enumeration Date
July 17, 2006
Last Update
June 4, 2025
Authorized Official
KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348

Practice Location

Address
4735 JONESBORO RD
UNION CITY, GA 302911915
Phone
(770) 964-6036

Mailing Address

Address
702 SW 8TH ST
BENTONVILLE, AR 727160445
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Specialty Pharmacy
Specialty Pharmacy
3336S0011X Pharmacy N/A N/A No
Pharmacy
333600000X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy PHRE007490 GA Primary

Other Identifiers

Identifier Type State Issuer
00536346A 05 GA N/A
2018293 01 N/A PK

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.22.16.840.1.113883.3.667.2

Affiliation: Ability Network

Frequently Asked Questions

What is WAL-MART STORES EAST LP's NPI number?
WAL-MART STORES EAST LP's NPI number is 1548288012.
Which doctor has NPI number 1548288012?
The doctor with NPI number 1548288012 is WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's practice address?
WAL-MART STORES EAST LP's practice address is 4735 JONESBORO RD, UNION CITY, GA, 302911915.
Which doctor practices at 4735 JONESBORO RD, UNION CITY, GA, 302911915?
WAL-MART STORES EAST LP practices at 4735 JONESBORO RD, UNION CITY, GA, 302911915.
What is WAL-MART STORES EAST LP's mailing address?
WAL-MART STORES EAST LP's mailing address is 702 SW 8TH ST, BENTONVILLE, AR, 727160445.
What is WAL-MART STORES EAST LP's phone number?
WAL-MART STORES EAST LP's phone number is (770) 964-6036.
Who is (770) 964-6036?
(770) 964-6036 is the phone number for WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's specialty?
WAL-MART STORES EAST LP's specialty is Community/Retail Pharmacy.
What type of doctor is WAL-MART STORES EAST LP?
WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP a Community/Retail Pharmacy?
Yes, WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP still practicing?
Yes, WAL-MART STORES EAST LP is currently practicing.
Is WAL-MART STORES EAST LP accepting new patients?
WAL-MART STORES EAST LP may be accepting new patients. Please call their office at (770) 964-6036 to inquire about availability.
Is NPI 1548288012 still active?
Yes, NPI 1548288012 is currently active.
Where does WAL-MART STORES EAST LP practice?
WAL-MART STORES EAST LP practices in UNION CITY, GA.