Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Orangeburg, SC

NPI number 1477957397 Active

Practice location

332 Stonewall Jackson Blvd
Orangeburg, SC 29115-7291

Call (803) 997-6138 Map

Mailing address

702 SW 8th St, Mailstop 4550
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	15576 (SC)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

Other community/retail pharmacy providers in Orangeburg

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NPI record

NPI: 1477957397
Entity type: Organization (Type 2)
Issued: Oct 21, 2014
Last updated: Jun 10, 2025
Status: Active

Other names

<unavail>
Walmart Pharmact 10-3724 · doing business as
Walmart Pharmact 10-3724 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 277-6348

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477957397

Wal-Mart Stores East LP's National Provider Identifier is 1477957397, issued on Oct 21, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Orangeburg, SC. The record was last updated on Jun 10, 2025.