Wal-mart Stores East , Lp
Community/Retail Pharmacy
1041 Edgefield Rd, North Augusta
South Carolina, 29860-9279
803-613-3085 Wal-mart Stores East , Lp is a Community/Retail Pharmacy in North Augusta, South Carolina. It is located at 1041 Edgefield Rd, North Augusta and it's customer support contact number is 803-613-3085. The authorized person of Wal-mart Stores East , Lp is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-277-6348. Active license number of Wal-mart Stores East , Lp is 15401 for Community/Retail Pharmacy in South Carolina. Wal-mart Stores East , Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Stores East , Lp is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Wal-mart Stores East , Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Wal-mart Stores East , Lp |
| Type: | Community/Retail Pharmacy |
| Location: | 1041 Edgefield Rd, North Augusta,
South Carolina, 29860-9279 |
| Phone: | 803-613-3085 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kimberly Canonic |
| Position: | Senior Director, Enrollment |
| Contact Number: | 480-277-6348 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1437565843 |
| NPI Enumeration Date: | 07 Jul, 2014 |
| NPI Last Update On: | 09 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Stores East , Lp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 15401 | South Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2147087 | Other | | Pk |
| 715401 | Medicaid | South Carolina | |
Medicare Enrollment:
Wal-mart Stores East , Lp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6204749997 | O20141208000295 | Wal-mart Stores East Lp | DME SUPPLIER - PHARMACY |
Products Available:
Wal-mart Stores East , Lp has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Enteral Nutrients |
| • Ostomy Supplies | • Prosthetic Lenses: Conventional Contact Lenses |
| • Prosthetic Lenses: Conventional Eyeglasses | • Surgical Dressings |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 702 Sw 8th St, Mailstop 0445
Bentonville, Arkansas |
| Zip: | 72716-0445 |
| Phone Number: | 479-277-2500 |
| Fax Number: | 479-277-4331 |
Patients can reach Wal-mart Stores East , Lp at
1041 Edgefield Rd, North Augusta, South Carolina or can
call on customer care at 803-613-3085.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.