Wal-Mart Stores East LP
Pharmacy in Sumter, SC. Organization (NPI-2).
NPI number1477065704
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1477065704
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Oct 26, 2017
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-0377 (Other Name)
Practice location
337 Pinewood RdSumter, SC 29150-5442
Phone 803-305-6237 · Fax 803-305-6236
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-9170 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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All 15 Pharmacy providers in Sumter · All 1,836 providers in Sumter
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