NPI 1740207901

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Gaffney, SC

Practice location

Address: 165 Walton Dr, Gaffney, SC 29341-1268
Phone: (864) 489-8704
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Kimberly Canonic
Title: Senior Director, Enrollment
Phone: (480) 277-6348

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 2538 (SC)

Other Pharmacy providers in South Carolina →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in South Carolina →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1740207901
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 3 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.