NPI
Wal-Mart Stores East LP
Doing business as Wal-Mart Pharmacy 10-3621. Phone (770) 455-4699 · NPI 1659436863
Read from the NPPES registry on October 24, 2026.
Wal-Mart Pharmacy 10-3621 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-12-27
- Last updated
- 2025-07-02
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Specialties
Licenses
- License GA
- PHRE009108
Location
- Practice location
- 1871 Chamblee Tucker Rd
- City
- Chamblee GA
- Postal code
- 30341-2737
- Phone
- (770) 455-4699
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
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
Pharmacy, Community/Retail Pharmacy providers in Chamblee, GA. 5 with this primary taxonomy in the public file.
Other NPIs in Chamblee, GA. 373 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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