NPI
Wal-Mart Stores East LP
Doing business as Walmart Pharmacy 10-0614. NPI 1467479790
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-16
- Last updated
- 2025-06-02
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Specialties
Licenses
- License GA
- PHRE007875
Location
- Practice location
- 803 New Franklin Rd
- City
- Lagrange GA
- Postal code
- 30240-1827
- Phone
- (706) 812-8456
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lagrange, GA. 1,063 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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